SHIRLEY ANN BENTON - Occupational Therapist License in Illinois | # 057000300

SHIRLEY ANN BENTON

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057000300

License Status

NOT RENEWED

Business

N

First Name

SHIRLEY ANN

Last Name

BENTON

Business Name

SHIRLEY ANN BENTON

Original Issue Date

04/08/1985

Effective Date

10/25/2005

Expiration Date

12/31/2007

State

IL

Ever Disciplined

N

LastModifiedDate

03/31/2008