EDMUND PHILIP COLRAVY Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057005313

License Status

ACTIVE

Business

First Name

EDMUND

Middle

PHILIP

Last Name

COLRAVY

Business Name

EDMUND PHILIP COLRAVY

Original Issue Date

10/22/2019

Effective Date

12/30/2023

Expiration Date

12/31/2025

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/02/2025