ISMENE M MUNCH Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056000944

License Status

NOT RENEWED

Business

First Name

ISMENE

Middle

Last Name

MUNCH

Business Name

ISMENE M MUNCH

Original Issue Date

08/08/1984

Effective Date

11/30/2009

Expiration Date

12/31/2011

City

NORTH RIVERSIDE

State

Zip

60546

County

COOK

Ever Disciplined

LastModifiedDate

02/08/2012