THERESE A FENNELL Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056001049

License Status

INACTIVE

Business

First Name

THERESE A

Last Name

FENNELL

Business Name

THERESE A FENNELL

Original Issue Date

08/08/1984

Effective Date

12/19/2019

Expiration Date

12/31/2021

City

ST CHARLES

State

Zip

60174

County

KANE

Ever Disciplined

LastModifiedDate

11/30/2021