KIM J WALDVOGEL Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056003016

License Status

NOT RENEWED

Business

First Name

KIM J

Last Name

WALDVOGEL

Business Name

KIM J WALDVOGEL

Original Issue Date

12/21/1992

Effective Date

01/07/2004

Expiration Date

12/31/2005

City

BURR RIDGE

State

Zip

60527

County

DUPAGE

Ever Disciplined

LastModifiedDate

02/16/2006