ALEXANDRA KATHERINE KASAPOV Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057005018

License Status

NOT RENEWED

Business

First Name

ALEXANDRA

Middle

KATHERINE

Last Name

KASAPOV

Business Name

ALEXANDRA KATHERINE KASAPOV

Original Issue Date

08/28/2018

Effective Date

12/16/2021

Expiration Date

12/31/2023

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

03/28/2024