SUSAN M BROOKINS Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056000222

License Status

INACTIVE

Business

First Name

SUSAN M

Last Name

BROOKINS

Business Name

SUSAN M BROOKINS

Original Issue Date

05/16/1984

Effective Date

11/25/2003

Expiration Date

12/31/2005

City

YORKVILLE

State

Zip

60560

County

KENDALL

Ever Disciplined

LastModifiedDate

10/25/2005