AMY D HAYNES Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057003414

License Status

NOT RENEWED

Business

First Name

AMY

Middle

Last Name

HAYNES

Business Name

AMY D HAYNES

Original Issue Date

07/11/2011

Effective Date

08/20/2013

Expiration Date

12/31/2013

City

GODFREY

State

Zip

62035

County

MADISON

Ever Disciplined

LastModifiedDate

02/19/2014