BRENDA L ADOLPH - Occupational Therapist License in Illinois | # 057002611

BRENDA L ADOLPH

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057002611

License Status

NOT RENEWED

Business

N

First Name

BRENDA

Middle

L

Last Name

ADOLPH

Business Name

BRENDA L ADOLPH

Original Issue Date

08/05/2005

Effective Date

10/25/2013

Expiration Date

12/31/2015

State

IL

Ever Disciplined

N

LastModifiedDate

02/08/2016