CARRIE RENEE BALL Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057002426

License Status

NOT RENEWED

Business

First Name

CARRIE

Middle

RENEE

Last Name

BALL

Business Name

CARRIE RENEE BALL

Original Issue Date

06/03/2003

Effective Date

12/23/2003

Expiration Date

12/31/2005

City

VIRDEN

State

Zip

62690

County

MACOUPIN

Ever Disciplined

LastModifiedDate

02/16/2006