KRISTINE D GRUMBACH Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056002899

License Status

INACTIVE

Business

First Name

KRISTINE D

Last Name

GRUMBACH

Business Name

KRISTINE D GRUMBACH

Original Issue Date

08/27/1992

Effective Date

10/29/2009

Expiration Date

12/31/2011

City

NORTHBROOK

State

Zip

60062

County

COOK

Ever Disciplined

LastModifiedDate

10/05/2011