SANDRA LOU JOHNSON Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057002822

License Status

NOT RENEWED

Business

First Name

SANDRA

Middle

LOU

Last Name

JOHNSON

Business Name

SANDRA LOU JOHNSON

Original Issue Date

06/28/2007

Effective Date

12/28/2015

Expiration Date

12/31/2017

City

PEORIA

State

Zip

61612

County

PEORIA

Ever Disciplined

LastModifiedDate

04/10/2018