CONNIE SUE BROWN Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057002303

License Status

NOT RENEWED

Business

First Name

CONNIE

Middle

SUE

Last Name

BROWN

Business Name

CONNIE SUE BROWN

Original Issue Date

04/10/2002

Effective Date

12/12/2013

Expiration Date

12/31/2015

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

02/08/2016