LORI M BULLOCK Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056001770

License Status

NOT RENEWED

Business

First Name

LORI M

Last Name

BULLOCK

Business Name

LORI M BULLOCK

Original Issue Date

06/22/1987

Expiration Date

12/31/1989

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

07/28/2005