CONNIE S DAVIS Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057002094

License Status

NOT RENEWED

Business

First Name

CONNIE

Middle

Last Name

DAVIS

Business Name

CONNIE S DAVIS

Original Issue Date

11/01/2000

Effective Date

11/14/2019

Expiration Date

01/31/2022

City

PEORIA

State

Zip

61607

County

PEORIA

Ever Disciplined

LastModifiedDate

05/18/2022