KEVIN A SUMIDA Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056001687

License Status

NOT RENEWED

Business

First Name

KEVIN A

Last Name

SUMIDA

Business Name

KEVIN A SUMIDA

Original Issue Date

02/19/1987

Effective Date

01/27/2004

Expiration Date

12/31/2003

City

MONTGOMERY

State

Zip

60538

County

KANE

Ever Disciplined

LastModifiedDate

09/11/2005