DIANE E GILLEN Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056001045

License Status

NOT RENEWED

Business

First Name

DIANE E

Last Name

GILLEN

Business Name

DIANE E GILLEN

Original Issue Date

08/08/1984

Expiration Date

12/31/1987

City

CHICAGO

State

Zip

60630

County

COOK

Ever Disciplined

LastModifiedDate

07/28/2005