SYRENA A STANFORD - Occupational Therapist License in Illinois | # 056009659

SYRENA A STANFORD

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056009659

License Status

NOT RENEWED

Business

N

First Name

SYRENA

Middle

A

Last Name

STANFORD

Business Name

SYRENA A STANFORD

Original Issue Date

02/06/2012

Effective Date

11/27/2017

Expiration Date

12/31/2019

State

IL

Ever Disciplined

N

LastModifiedDate

03/05/2020