KATHLEEN M MITAL Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056000426

License Status

INACTIVE

Business

First Name

KATHLEEN M

Last Name

MITAL

Business Name

KATHLEEN M MITAL

Original Issue Date

06/11/1984

Effective Date

12/29/2003

Expiration Date

12/31/2005

City

WHEATON

State

Zip

60189

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/25/2005