KELLY B SMALL - Occupational Therapist License in Illinois | # 057002861

KELLY B SMALL

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057002861

License Status

NOT RENEWED

Business

N

First Name

KELLY

Middle

B

Last Name

SMALL

Business Name

KELLY B SMALL

Original Issue Date

08/13/2007

Effective Date

10/10/2007

Expiration Date

12/31/2009

State

IL

Ever Disciplined

N

LastModifiedDate

02/04/2010