BENITA M KIM - Occupational Therapist License in Illinois | # 056005560

BENITA M KIM

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056005560

License Status

NOT RENEWED

Business

N

First Name

BENITA

Middle

M

Last Name

KIM

Business Name

BENITA M KIM

Original Issue Date

11/05/1999

Effective Date

12/30/2003

Expiration Date

12/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

02/16/2006