COLLEEN M WILSON Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057002774

License Status

NOT RENEWED

Business

First Name

COLLEEN

Middle

Last Name

WILSON

Business Name

COLLEEN M WILSON

Original Issue Date

10/11/2006

Effective Date

10/28/2015

Expiration Date

12/31/2017

City

MACKINAW

State

Zip

61755

County

TAZEWELL

Ever Disciplined

LastModifiedDate

04/10/2018