ANNA J BLANK Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057004089

License Status

NOT RENEWED

Business

First Name

ANNA

Middle

Last Name

BLANK

Business Name

ANNA J BLANK

Original Issue Date

08/05/2014

Effective Date

12/13/2021

Expiration Date

12/31/2023

City

GOODFIELD

State

Zip

61742

County

WOODFORD

Ever Disciplined

LastModifiedDate

03/28/2024