ANN B DAVIDSEN Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056001865

License Status

INACTIVE

Business

First Name

ANN B

Last Name

DAVIDSEN

Business Name

ANN B DAVIDSEN

Original Issue Date

10/17/1987

Effective Date

12/11/2019

Expiration Date

12/31/2021

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Ever Disciplined

LastModifiedDate

12/30/2021