PATRICIA T LAKE Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056001175

License Status

NOT RENEWED

Business

First Name

PATRICIA T

Last Name

LAKE

Business Name

PATRICIA T LAKE

Original Issue Date

10/17/1984

Effective Date

11/12/2015

Expiration Date

12/31/2017

City

NAPERVILLE

State

Zip

60565

County

DUPAGE

Ever Disciplined

LastModifiedDate

04/10/2018