VANESSA K BOHM Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057005267

License Status

INACTIVE

Business

First Name

VANESSA

Middle

Last Name

BOHM

Business Name

VANESSA K BOHM

Original Issue Date

09/06/2019

Effective Date

12/04/2019

Expiration Date

12/31/2021

City

PRINCEVILLE

State

Zip

61559

County

PEORIA

Ever Disciplined

LastModifiedDate

01/02/2022