AUDREY JEANETTE FRAZIER Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057003590

License Status

NOT RENEWED

Business

First Name

AUDREY

Middle

JEANETTE

Last Name

FRAZIER

Business Name

AUDREY JEANETTE FRAZIER

Original Issue Date

06/26/2012

Effective Date

12/30/2019

Expiration Date

01/31/2022

City

TOLONO

State

Zip

61880

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/18/2022