EVELYN RODRIGUEZ Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056000913

License Status

NOT RENEWED

Business

First Name

EVELYN

Last Name

RODRIGUEZ

Business Name

EVELYN RODRIGUEZ

Original Issue Date

08/08/1984

Effective Date

11/26/2021

Expiration Date

12/31/2023

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/28/2024