PEGGY ANN CLEVENGER Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057002601

License Status

NOT RENEWED

Business

First Name

PEGGY

Middle

ANN

Last Name

CLEVENGER

Business Name

PEGGY ANN CLEVENGER

Original Issue Date

06/24/2005

Effective Date

12/10/2019

Expiration Date

01/31/2022

City

SOUTH BELOIT

State

Zip

61080

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/18/2022