Occupational Therapist
OCCUPATIONAL THERAPY ASSISTANT
057005929
NOT RENEWED
N
AMANDA
ELIZABETH
PHELPS
AMANDA ELIZABETH PHELPS
02/10/2023
02/10/2023
12/31/2023
WOOD RIVER
IL
62095
MADISON
Y
09/11/2025
2023003523
Suspension
07/03/2023
09/09/2025
Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 09/09/2025.