TALISSA SHAULL Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057004099

License Status

NOT RENEWED

Business

First Name

TALISSA

Last Name

SHAULL

Business Name

TALISSA SHAULL

Original Issue Date

08/07/2014

Effective Date

12/28/2017

Expiration Date

12/31/2019

City

SEATTLE

State

Zip

98109

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

03/05/2020