ASHLEY ANNE TYRE RUSSELL - Occupational Therapist License in Illinois | # 056008790

ASHLEY ANNE TYRE RUSSELL

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056008790

License Status

NOT RENEWED

Business

N

First Name

ASHLEY

Middle

ANNE

Last Name

TYRE RUSSELL

Business Name

ASHLEY ANNE TYRE RUSSELL

Original Issue Date

09/01/2009

Effective Date

11/18/2023

Expiration Date

12/31/2025

State

IL

Ever Disciplined

N

LastModifiedDate

04/01/2026