SUSAN PAULL GOLDBERG Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056003250

License Status

NOT RENEWED

Business

First Name

SUSAN PAULL

Last Name

GOLDBERG

Business Name

SUSAN PAULL GOLDBERG

Original Issue Date

09/29/1993

Effective Date

01/27/2004

Expiration Date

12/31/2003

City

WINNETKA

State

Zip

60093

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005