BETH ANN MAXWELL Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057004464

License Status

NOT RENEWED

Business

First Name

BETH

Middle

ANN

Last Name

MAXWELL

Business Name

BETH ANN MAXWELL

Original Issue Date

03/10/2016

Effective Date

10/06/2017

Expiration Date

12/31/2019

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/05/2020