PEGGY DENISE KEENE Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057002175

License Status

NOT RENEWED

Business

First Name

PEGGY

Middle

DENISE

Last Name

KEENE

Business Name

PEGGY DENISE KEENE

Original Issue Date

05/04/2001

Effective Date

10/25/2005

Expiration Date

12/31/2007

City

MEDORA

State

Zip

62063

County

MACOUPIN

Ever Disciplined

LastModifiedDate

03/31/2008