PHOEBE ELLEN WIRTH Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056000775

License Status

NOT RENEWED

Business

First Name

PHOEBE ELLEN

Last Name

WIRTH

Business Name

PHOEBE ELLEN WIRTH

Original Issue Date

07/17/1984

Expiration Date

12/31/1985

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

07/28/2005