TERRY BLAIR WALL Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056003811

License Status

NOT RENEWED

Business

First Name

TERRY

Middle

BLAIR

Last Name

WALL

Business Name

TERRY BLAIR WALL

Original Issue Date

09/20/1995

Effective Date

11/17/2017

Expiration Date

12/31/2019

City

CHICAGO

State

Zip

60643

County

COOK

Ever Disciplined

LastModifiedDate

04/02/2025