CALVIN KEITH BAILEY Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057002859

License Status

INACTIVE

Business

First Name

CALVIN

Middle

KEITH

Last Name

BAILEY

Business Name

CALVIN KEITH BAILEY

Original Issue Date

08/09/2007

Effective Date

08/09/2007

Expiration Date

12/31/2007

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

10/10/2007