ANDREA L BLUME - Occupational Therapist License in Illinois | # 057001846

ANDREA L BLUME

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001846

License Status

INACTIVE

Business

N

First Name

ANDREA

Middle

L

Last Name

BLUME

Business Name

ANDREA L BLUME

Original Issue Date

05/11/1999

Effective Date

09/28/2010

Expiration Date

12/31/2011

State

IL

Ever Disciplined

N

LastModifiedDate

10/05/2011