AMANDA ELLE SHANGOLD - Occupational Therapist License in Illinois | # 056010767

AMANDA ELLE SHANGOLD

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056010767

License Status

NOT RENEWED

Business

N

First Name

AMANDA

Middle

ELLE

Last Name

SHANGOLD

Business Name

AMANDA ELLE SHANGOLD

Original Issue Date

09/30/2014

Effective Date

12/21/2015

Expiration Date

12/31/2017

State

IL

Ever Disciplined

N

LastModifiedDate

04/10/2018