ROBERT LEE GREEN JR Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057003293

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

LEE

Last Name

GREEN

Suffix

Business Name

ROBERT LEE GREEN JR

Original Issue Date

08/23/2010

Effective Date

12/26/2021

Expiration Date

12/31/2023

City

SALEM

State

Zip

62881

County

MARION

Ever Disciplined

LastModifiedDate

03/28/2024