SUSAN M REEVERTS Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057002733

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

Last Name

REEVERTS

Business Name

SUSAN M REEVERTS

Original Issue Date

08/08/2006

Effective Date

12/27/2019

Expiration Date

01/31/2022

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/18/2022