KIRAN SRIVASTAVA Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056002246

License Status

NOT RENEWED

Business

First Name

KIRAN

Last Name

SRIVASTAVA

Business Name

KIRAN SRIVASTAVA

Original Issue Date

09/07/1989

Effective Date

12/02/2021

Expiration Date

12/31/2023

City

MUNDELEIN

State

Zip

60060

County

LAKE

Ever Disciplined

LastModifiedDate

03/28/2024