SHANDA J MARICLE Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057003216

License Status

NOT RENEWED

Business

First Name

SHANDA

Middle

Last Name

MARICLE

Business Name

SHANDA J MARICLE

Original Issue Date

03/15/2010

Effective Date

12/27/2013

Expiration Date

12/31/2015

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

02/08/2016