ELIZABETH A WALLENFANG Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056000453

License Status

NOT RENEWED

Business

First Name

ELIZABETH A

Last Name

WALLENFANG

Business Name

ELIZABETH A WALLENFANG

Original Issue Date

06/11/1984

Expiration Date

12/31/1987

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

07/28/2005