MIREILLE M LAFOREST Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056002851

License Status

NOT RENEWED

Business

First Name

MIREILLE M

Last Name

LAFOREST

Business Name

MIREILLE M LAFOREST

Original Issue Date

05/09/1992

Effective Date

12/22/2021

Expiration Date

12/31/2023

City

CHICAGO

State

Zip

60652

County

COOK

Ever Disciplined

LastModifiedDate

03/28/2024