SELENA LYNNE BANTEL - Occupational Therapist License in Illinois | # 056011584

SELENA LYNNE BANTEL

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056011584

License Status

NOT RENEWED

Business

N

First Name

SELENA

Middle

LYNNE

Last Name

BANTEL

Business Name

SELENA LYNNE BANTEL

Original Issue Date

07/22/2016

Effective Date

12/20/2017

Expiration Date

12/31/2019

State

IL

Ever Disciplined

N

LastModifiedDate

03/05/2020