SUSAN LYNNE GONSOWSKI Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056003178

License Status

NOT RENEWED

Business

First Name

SUSAN LYNNE

Last Name

GONSOWSKI

Business Name

SUSAN LYNNE GONSOWSKI

Original Issue Date

09/08/1993

Effective Date

02/27/2002

Expiration Date

12/31/2001

City

ASHMORE

State

Zip

61912

County

COLES

Ever Disciplined

LastModifiedDate

09/11/2005