KRISTIE LYNNE PORTER - Occupational Therapist License in Illinois | # 056007970

KRISTIE LYNNE PORTER

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056007970

License Status

NOT RENEWED

Business

N

First Name

KRISTIE

Middle

LYNNE

Last Name

PORTER

Business Name

KRISTIE LYNNE PORTER

Original Issue Date

01/17/2007

Effective Date

10/10/2007

Expiration Date

12/31/2009

State

IL

Ever Disciplined

N

LastModifiedDate

02/04/2010