LESLIE F BOURGOYNE Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056003159

License Status

NOT RENEWED

Business

First Name

LESLIE F

Last Name

BOURGOYNE

Business Name

LESLIE F BOURGOYNE

Original Issue Date

07/29/1993

Expiration Date

12/31/1995

City

GRAYSLAKE

State

Zip

60030

County

LAKE

Ever Disciplined

LastModifiedDate

07/28/2005