BENNETT JAY KRYZSKO Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056004005

License Status

NOT RENEWED

Business

First Name

BENNETT JAY

Last Name

KRYZSKO

Business Name

BENNETT JAY KRYZSKO

Original Issue Date

03/12/1996

Effective Date

02/27/2002

Expiration Date

12/31/2001

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005