DIANE E CROUSE Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056002461

License Status

NOT RENEWED

Business

First Name

DIANE E

Last Name

CROUSE

Business Name

DIANE E CROUSE

Original Issue Date

09/21/1990

Effective Date

11/14/2011

Expiration Date

12/31/2013

City

ALGONQUIN

State

Zip

60102

County

MCHENRY

Ever Disciplined

LastModifiedDate

02/19/2014