KEVIN R BOUSE - Occupational Therapist License in Illinois | # 056004158

KEVIN R BOUSE

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056004158

License Status

INACTIVE

Business

N

First Name

KEVIN R

Last Name

BOUSE

Business Name

KEVIN R BOUSE

Original Issue Date

09/11/1996

Effective Date

12/16/2009

Expiration Date

12/31/2011

State

IL

Ever Disciplined

N

LastModifiedDate

10/05/2011