MARY ELLEN SANDRIN Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001907

License Status

NOT RENEWED

Business

First Name

MARY ELLEN

Last Name

SANDRIN

Business Name

MARY ELLEN SANDRIN

Original Issue Date

05/26/1999

Effective Date

11/12/2019

Expiration Date

01/31/2022

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

05/18/2022