KRISTEN ANN BRUNNER - Occupational Therapist License in Illinois | # 056005902

KRISTEN ANN BRUNNER

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056005902

License Status

NOT RENEWED

Business

N

First Name

KRISTEN

Middle

ANN

Last Name

BRUNNER

Business Name

KRISTEN ANN BRUNNER

Original Issue Date

10/10/2000

Effective Date

01/27/2004

Expiration Date

12/31/2003

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005