JARED M CORDUM Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057004662

License Status

NOT RENEWED

Business

First Name

JARED

Middle

Last Name

CORDUM

Business Name

JARED M CORDUM

Original Issue Date

02/10/2017

Effective Date

12/27/2019

Expiration Date

01/31/2022

City

WILLIAMSVILLE

State

Zip

62693

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/18/2022