ANDREA LYNN BOOTH Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057002044

License Status

ACTIVE

Business

First Name

ANDREA

Middle

LYNN

Last Name

BOOTH

Business Name

ANDREA LYNN BOOTH

Original Issue Date

05/18/2000

Effective Date

12/29/2023

Expiration Date

12/31/2025

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

11/26/2024

Case Number

2024008323

Action

Suspension

Discipline Start Date

11/25/2024

Discipline End Date

11/01/2025

Discipline Reason

Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 11/03/2025.