FAYE E CLARK Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057002780

License Status

NOT RENEWED

Business

First Name

FAYE

Middle

Last Name

CLARK

Business Name

FAYE E CLARK

Original Issue Date

02/06/2007

Effective Date

12/30/2019

Expiration Date

01/31/2022

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

05/18/2022