SUSAN ELIZABETH DETAR - Occupational Therapist License in Illinois | # 056009266

SUSAN ELIZABETH DETAR

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056009266

License Status

NOT RENEWED

Business

N

First Name

SUSAN

Middle

ELIZABETH

Last Name

DETAR

Business Name

SUSAN ELIZABETH DETAR

Original Issue Date

01/18/2011

Effective Date

11/12/2019

Expiration Date

01/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

05/18/2022