CAITLIN N CLARK Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057003556

License Status

NOT RENEWED

Business

First Name

CAITLIN

Middle

Last Name

CLARK

Business Name

CAITLIN N CLARK

Original Issue Date

04/05/2012

Effective Date

05/27/2016

Expiration Date

12/31/2017

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

04/10/2018