TAWANDA WELCH BROACH Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056002668

License Status

NOT RENEWED

Business

First Name

TAWANDA

Middle

WELCH

Last Name

BROACH

Business Name

TAWANDA WELCH BROACH

Original Issue Date

09/11/1991

Effective Date

02/27/2002

Expiration Date

12/31/2001

City

SAUK VILLAGE

State

Zip

60411

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005

Case Number

1993002460

Action

Fine

Discipline Start Date

07/26/1995

Discipline Reason

Recorded two home visits of patients which were not made.