SUE A GREEN Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001764

License Status

NOT RENEWED

Business

First Name

SUE

Middle

Last Name

GREEN

Business Name

SUE A GREEN

Original Issue Date

11/09/1998

Effective Date

11/06/2017

Expiration Date

12/31/2019

City

FITHIAN

State

Zip

61844

County

VERMILION

Ever Disciplined

LastModifiedDate

03/05/2020