MICHELLE A SLADE Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056004053

License Status

NOT RENEWED

Business

First Name

MICHELLE A

Last Name

SLADE

Business Name

MICHELLE A SLADE

Original Issue Date

05/02/1996

Effective Date

01/27/2004

Expiration Date

12/31/2003

City

CRYSTAL LAKE

State

Zip

60012

County

MCHENRY

Ever Disciplined

LastModifiedDate

09/11/2005