PENELOPE A CHAPMAN BAS Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056004140

License Status

NOT RENEWED

Business

First Name

PENELOPE A

Last Name

CHAPMAN BAS

Business Name

PENELOPE A CHAPMAN BAS

Original Issue Date

09/12/1996

Expiration Date

12/31/1997

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

07/28/2005