HOLLY ANN ROBERTS Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057002645

License Status

NOT RENEWED

Business

First Name

HOLLY

Middle

ANN

Last Name

ROBERTS

Business Name

HOLLY ANN ROBERTS

Original Issue Date

09/29/2005

Effective Date

12/11/2019

Expiration Date

01/31/2022

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/18/2022