BRIANNE NICOLE HENDERSON Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057004625

License Status

NOT RENEWED

Business

First Name

BRIANNE

Middle

NICOLE

Last Name

HENDERSON

Business Name

BRIANNE NICOLE HENDERSON

Original Issue Date

09/30/2016

Effective Date

12/20/2017

Expiration Date

12/31/2019

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

03/05/2020