LICHELLE AYESHA FERNANDO - Occupational Therapist License in Illinois | # 056006675

LICHELLE AYESHA FERNANDO

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056006675

License Status

NOT RENEWED

Business

N

First Name

LICHELLE

Middle

AYESHA

Last Name

FERNANDO

Business Name

LICHELLE AYESHA FERNANDO

Original Issue Date

10/08/2002

Effective Date

10/25/2005

Expiration Date

12/31/2007

State

IL

Ever Disciplined

N

LastModifiedDate

02/15/2008