SHAMIM N THANAWALA Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056001924

License Status

NOT RENEWED

Business

First Name

SHAMIM N

Last Name

THANAWALA

Business Name

SHAMIM N THANAWALA

Original Issue Date

03/12/1988

Expiration Date

12/31/1993

City

CHICAGO

State

Zip

60626

County

COOK

Ever Disciplined

LastModifiedDate

07/28/2005