KELLY L ANDERSON - Occupational Therapist License in Illinois | # 056007029

KELLY L ANDERSON

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056007029

License Status

NOT RENEWED

Business

N

First Name

KELLY

Middle

L

Last Name

ANDERSON

Business Name

KELLY L ANDERSON

Original Issue Date

10/30/2003

Effective Date

10/10/2007

Expiration Date

12/31/2009

State

IL

Ever Disciplined

N

LastModifiedDate

02/04/2010