BETH A SCHACK Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056001727

License Status

NOT RENEWED

Business

First Name

BETH A

Last Name

SCHACK

Business Name

BETH A SCHACK

Original Issue Date

03/28/1987

Expiration Date

12/31/1989

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

07/28/2005