TAMA CHARLOTTE SMITH - Occupational Therapist License in Illinois | # 056005124

TAMA CHARLOTTE SMITH

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056005124

License Status

NOT RENEWED

Business

N

First Name

TAMA

Middle

CHARLOTTE

Last Name

SMITH

Business Name

TAMA CHARLOTTE SMITH

Original Issue Date

11/12/1998

Effective Date

02/27/2002

Expiration Date

12/31/2001

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005