CAROLYN RUSSELL - Occupational Therapist License in Illinois | # 056014413

CAROLYN RUSSELL

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056014413

License Status

NOT RENEWED

Business

N

First Name

CAROLYN

Last Name

RUSSELL

Business Name

CAROLYN RUSSELL

Original Issue Date

08/20/2021

Effective Date

08/20/2021

Expiration Date

01/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

05/18/2022