SARA JANE FANCHER Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057002250

License Status

NOT RENEWED

Business

First Name

SARA

Middle

JANE

Last Name

FANCHER

Business Name

SARA JANE FANCHER

Original Issue Date

10/02/2001

Effective Date

01/05/2004

Expiration Date

12/31/2005

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

02/16/2006