KATHLEEN MARIE BROUSSARD - Occupational Therapist License in Illinois | # 056014742

KATHLEEN MARIE BROUSSARD

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056014742

License Status

NOT RENEWED

Business

N

First Name

KATHLEEN

Middle

MARIE

Last Name

BROUSSARD

Business Name

KATHLEEN MARIE BROUSSARD

Original Issue Date

02/17/2022

Effective Date

12/28/2023

Expiration Date

12/31/2025

State

IL

Ever Disciplined

N

LastModifiedDate

04/01/2026