SALLY T SMITH Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056000093

License Status

INACTIVE

Business

First Name

SALLY T

Last Name

SMITH

Business Name

SALLY T SMITH

Original Issue Date

04/12/1984

Expiration Date

12/31/1993

City

NAPERVILLE

State

Zip

60563

County

DUPAGE

Ever Disciplined

LastModifiedDate

07/28/2005