KENNETH P KOZOLE Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056000754

License Status

NOT RENEWED

Business

First Name

KENNETH P

Last Name

KOZOLE

Business Name

KENNETH P KOZOLE

Original Issue Date

07/17/1984

Expiration Date

12/31/1985

City

NORTH RIVERSIDE

State

Zip

60546

County

COOK

Ever Disciplined

LastModifiedDate

07/28/2005