LORI JO BOUTELLE - Occupational Therapist License in Illinois | # 056005278

LORI JO BOUTELLE

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056005278

License Status

NOT RENEWED

Business

N

First Name

LORI

Middle

JO

Last Name

BOUTELLE

Business Name

LORI JO BOUTELLE

Original Issue Date

03/11/1999

Effective Date

12/30/2003

Expiration Date

12/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

02/16/2006