MARILYN J WALSTROM Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056001919

License Status

NOT RENEWED

Business

First Name

MARILYN J

Last Name

WALSTROM

Business Name

MARILYN J WALSTROM

Original Issue Date

03/05/1988

Effective Date

11/23/2009

Expiration Date

12/31/2011

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

02/08/2012