ELAINE F MENDOZA Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056001838

License Status

NOT RENEWED

Business

First Name

ELAINE

Middle

Last Name

MENDOZA

Business Name

ELAINE F MENDOZA

Original Issue Date

09/05/1987

Effective Date

01/02/2014

Expiration Date

12/31/2015

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

02/08/2016