MADELEINE R SAND Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056000442

License Status

INACTIVE

Business

First Name

MADELEINE R

Last Name

SAND

Business Name

MADELEINE R SAND

Original Issue Date

06/11/1984

Effective Date

11/25/2003

Expiration Date

12/31/2005

City

FOX LAKE

State

Zip

60020

County

LAKE

Ever Disciplined

LastModifiedDate

10/25/2005