DUSTIN K MICKO Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056003732

License Status

NOT RENEWED

Business

First Name

DUSTIN K

Last Name

MICKO

Business Name

DUSTIN K MICKO

Original Issue Date

07/25/1995

Effective Date

02/27/2002

Expiration Date

12/31/2001

City

CHICAGO

State

Zip

60626

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005