JACQUELINE ANNE GONSALVES Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056003168

License Status

NOT RENEWED

Business

First Name

JACQUELINE ANNE

Last Name

GONSALVES

Business Name

JACQUELINE ANNE GONSALVES

Original Issue Date

08/12/1993

Effective Date

02/27/2002

Expiration Date

12/31/2001

City

HAWTHORN WOODS

State

Zip

60047

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005