LAURA RAE STARK - Occupational Therapist License in Illinois | # 056009565

LAURA RAE STARK

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056009565

License Status

NOT RENEWED

Business

N

First Name

LAURA

Middle

RAE

Last Name

STARK

Business Name

LAURA RAE STARK

Original Issue Date

10/14/2011

Effective Date

11/25/2013

Expiration Date

12/31/2015

State

IL

Ever Disciplined

N

LastModifiedDate

02/08/2016