ANDREA L SULLIVAN Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057004832

License Status

NOT RENEWED

Business

First Name

ANDREA

Middle

Last Name

SULLIVAN

Business Name

ANDREA L SULLIVAN

Original Issue Date

10/10/2017

Effective Date

12/31/2021

Expiration Date

12/31/2023

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

03/28/2024