AMBER MARIE TICE Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057004718

License Status

NOT RENEWED

Business

First Name

AMBER

Middle

MARIE

Last Name

TICE

Business Name

AMBER MARIE TICE

Original Issue Date

04/10/2017

Effective Date

12/19/2021

Expiration Date

12/31/2023

City

GENESEO

State

Zip

61254

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

03/28/2024