KEVIN D SMITH Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057002263

License Status

NOT RENEWED

Business

First Name

KEVIN

Middle

Last Name

SMITH

Business Name

KEVIN D SMITH

Original Issue Date

11/14/2001

Effective Date

12/28/2021

Expiration Date

12/31/2023

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

03/28/2024