PANDRA JEAN BIRD Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001992

License Status

INACTIVE

Business

First Name

PANDRA

Middle

JEAN

Last Name

BIRD

Business Name

PANDRA JEAN BIRD

Original Issue Date

03/10/2000

Effective Date

10/25/2005

Expiration Date

12/31/2007

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/10/2007