SUE E BAILEY Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057002508

License Status

NOT RENEWED

Business

First Name

SUE

Middle

Last Name

BAILEY

Business Name

SUE E BAILEY

Original Issue Date

04/07/2004

Effective Date

10/10/2007

Expiration Date

12/31/2009

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

02/04/2010