KRISTIN MARIE WALL - Occupational Therapist License in Illinois | # 056007919

KRISTIN MARIE WALL

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056007919

License Status

NOT RENEWED

Business

N

First Name

KRISTIN

Middle

MARIE

Last Name

WALL

Business Name

KRISTIN MARIE WALL

Original Issue Date

10/20/2006

Effective Date

12/05/2013

Expiration Date

12/31/2015

State

IL

Ever Disciplined

N

LastModifiedDate

02/08/2016