PATRICIA G GRIM Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056001306

License Status

INACTIVE

Business

First Name

PATRICIA G

Last Name

GRIM

Business Name

PATRICIA G GRIM

Original Issue Date

06/21/1985

Effective Date

10/25/2005

Expiration Date

12/31/2007

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/10/2007