KERSTIN B PALM - Occupational Therapist License in Illinois | # 056004160

KERSTIN B PALM

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056004160

License Status

INACTIVE

Business

N

First Name

KERSTIN B

Last Name

PALM

Business Name

KERSTIN B PALM

Original Issue Date

09/11/1996

Effective Date

01/22/2002

Expiration Date

12/31/2001

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005