MICHELLE KATHLEEN WIRTH - Occupational Therapist License in Illinois | # 056011970

MICHELLE KATHLEEN WIRTH

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056011970

License Status

NOT RENEWED

Business

N

First Name

MICHELLE

Middle

KATHLEEN

Last Name

WIRTH

Business Name

MICHELLE KATHLEEN WIRTH

Original Issue Date

04/13/2017

Effective Date

11/27/2017

Expiration Date

12/31/2019

State

IL

Ever Disciplined

N

LastModifiedDate

03/05/2020