DONNA GAIL CROSE Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057004349

License Status

NOT RENEWED

Business

First Name

DONNA

Middle

GAIL

Last Name

CROSE

Business Name

DONNA GAIL CROSE

Original Issue Date

08/13/2015

Effective Date

12/19/2019

Expiration Date

01/31/2022

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/18/2022