YE F BRANTHAVER Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057003125

License Status

NOT RENEWED

Business

First Name

Middle

Last Name

BRANTHAVER

Business Name

YE F BRANTHAVER

Original Issue Date

07/06/2009

Effective Date

12/03/2015

Expiration Date

12/31/2017

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

04/10/2018