CRYSTAL D BROOKS Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057003177

License Status

NOT RENEWED

Business

First Name

CRYSTAL

Middle

Last Name

BROOKS

Business Name

CRYSTAL D BROOKS

Original Issue Date

10/23/2009

Effective Date

12/24/2019

Expiration Date

01/31/2022

City

EDWARDSVILLE

State

Zip

62520

County

MARION

Ever Disciplined

LastModifiedDate

05/18/2022