AMANDA KIVIC Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056003195

License Status

INACTIVE

Business

First Name

AMANDA

Last Name

KIVIC

Business Name

AMANDA KIVIC

Original Issue Date

09/09/1993

Expiration Date

12/31/1999

City

DOWNERS GROVE

State

Zip

60516

County

DUPAGE

Ever Disciplined

LastModifiedDate

07/28/2005