HEIDI LISA WHITROCK Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057002787

License Status

NOT RENEWED

Business

First Name

HEIDI

Middle

LISA

Last Name

WHITROCK

Business Name

HEIDI LISA WHITROCK

Original Issue Date

03/07/2007

Effective Date

10/10/2007

Expiration Date

12/31/2009

City

GODFREY

State

Zip

62035

County

MADISON

Ever Disciplined

LastModifiedDate

02/04/2010