HEATHER ANN GREEN - Occupational Therapist License in Illinois | # 057002115

HEATHER ANN GREEN

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057002115

License Status

NOT RENEWED

Business

N

First Name

HEATHER

Middle

ANN

Last Name

GREEN

Business Name

HEATHER ANN GREEN

Original Issue Date

11/01/2000

Effective Date

01/04/2016

Expiration Date

12/31/2017

State

IL

Ever Disciplined

N

LastModifiedDate

04/10/2018