LAUREN ELIZABETH BOURN Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057004183

License Status

NOT RENEWED

Business

First Name

LAUREN

Middle

ELIZABETH

Last Name

BOURN

Business Name

LAUREN ELIZABETH BOURN

Original Issue Date

01/08/2015

Effective Date

12/18/2017

Expiration Date

12/31/2019

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/05/2020