SCOTT ALLEN MANGUM Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057004244

License Status

NOT RENEWED

Business

First Name

SCOTT

Middle

ALLEN

Last Name

MANGUM

Business Name

SCOTT ALLEN MANGUM

Original Issue Date

03/26/2015

Effective Date

01/04/2016

Expiration Date

12/31/2017

City

LISLE

State

Zip

60532

County

DUPAGE

Ever Disciplined

LastModifiedDate

04/10/2018