MARK JOSEPH COLLINS Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057002690

License Status

NOT RENEWED

Business

First Name

MARK

Middle

JOSEPH

Last Name

COLLINS

Business Name

MARK JOSEPH COLLINS

Original Issue Date

04/10/2006

Effective Date

12/28/2017

Expiration Date

12/31/2019

City

HERRIN

State

Zip

62948

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

03/05/2020