COLLEEN MARY CARLEY Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057002496

License Status

NOT RENEWED

Business

First Name

COLLEEN

Middle

MARY

Last Name

CARLEY

Business Name

COLLEEN MARY CARLEY

Original Issue Date

03/08/2004

Effective Date

12/16/2013

Expiration Date

12/31/2015

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Ever Disciplined

LastModifiedDate

02/08/2016