BROOKE NICOLE GRANDT - Occupational Therapist License in Illinois | # 056010458

BROOKE NICOLE GRANDT

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056010458

License Status

NOT RENEWED

Business

N

First Name

BROOKE

Middle

NICOLE

Last Name

GRANDT

Business Name

BROOKE NICOLE GRANDT

Original Issue Date

02/20/2014

Effective Date

10/10/2017

Expiration Date

12/31/2019

State

IL

Ever Disciplined

N

LastModifiedDate

03/05/2020