SALLY A KANNAKA Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056000675

License Status

NOT RENEWED

Business

First Name

SALLY A

Last Name

KANNAKA

Business Name

SALLY A KANNAKA

Original Issue Date

07/17/1984

Effective Date

10/25/2005

Expiration Date

12/31/2007

City

ST CHARLES

State

Zip

60174

County

KANE

Ever Disciplined

LastModifiedDate

02/15/2008