ELLEN M FENN Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056003000

License Status

NOT RENEWED

Business

First Name

ELLEN M

Last Name

FENN

Business Name

ELLEN M FENN

Original Issue Date

11/21/1992

Effective Date

10/25/2005

Expiration Date

12/31/2007

City

LINCOLNWOOD

State

Zip

60712

County

COOK

Ever Disciplined

LastModifiedDate

02/15/2008