DANA DEANNE FORTADO Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056003219

License Status

INACTIVE

Business

First Name

DANA DEANNE

Last Name

FORTADO

Business Name

DANA DEANNE FORTADO

Original Issue Date

09/09/1993

Effective Date

10/31/2011

Expiration Date

12/31/2013

City

RIVER FOREST

State

Zip

60305

County

COOK

Ever Disciplined

LastModifiedDate

10/04/2013