ANDREA MAY ELLEN WILLEY Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057003441

License Status

NOT RENEWED

Business

First Name

ANDREA

Middle

MAY ELLEN

Last Name

WILLEY

Business Name

ANDREA MAY ELLEN WILLEY

Original Issue Date

08/15/2011

Effective Date

12/07/2015

Expiration Date

12/31/2017

City

DIXON

State

Zip

61021

County

LEE

Ever Disciplined

LastModifiedDate

04/10/2018