CAROLYN E COLLINS Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057002378

License Status

NOT RENEWED

Business

First Name

CAROLYN

Middle

Last Name

COLLINS

Business Name

CAROLYN E COLLINS

Original Issue Date

10/18/2002

Effective Date

11/25/2003

Expiration Date

12/31/2005

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

02/16/2006