SUSAN R LATTA - Occupational Therapist License in Illinois | # 056000973

SUSAN R LATTA

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056000973

License Status

NOT RENEWED

Business

N

First Name

SUSAN R

Last Name

LATTA

Business Name

SUSAN R LATTA

Original Issue Date

08/08/1984

Effective Date

01/02/2020

Expiration Date

01/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

05/18/2022