MICHELLE SHARON ROSE - Occupational Therapist License in Illinois | # 056003792

MICHELLE SHARON ROSE

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056003792

License Status

NOT RENEWED

Business

N

First Name

MICHELLE

Middle

SHARON

Last Name

ROSE

Business Name

MICHELLE SHARON ROSE

Original Issue Date

09/21/1995

Effective Date

12/12/2017

Expiration Date

12/31/2019

State

IL

Ever Disciplined

N

LastModifiedDate

03/05/2020