SUSAN J IVERSON Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056000638

License Status

NOT RENEWED

Business

First Name

SUSAN J

Last Name

IVERSON

Business Name

SUSAN J IVERSON

Original Issue Date

07/17/1984

Effective Date

12/14/2017

Expiration Date

12/31/2019

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Ever Disciplined

LastModifiedDate

03/05/2020