SHALET SHARMILA D'SOUZA Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057002997

License Status

NOT RENEWED

Business

First Name

SHALET

Middle

SHARMILA

Last Name

D'SOUZA

Business Name

SHALET SHARMILA D'SOUZA

Original Issue Date

08/01/2008

Effective Date

10/08/2009

Expiration Date

12/31/2011

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

02/08/2012