KERSTIN B PALM Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056004160

License Status

INACTIVE

Business

First Name

KERSTIN B

Last Name

PALM

Business Name

KERSTIN B PALM

Original Issue Date

09/11/1996

Effective Date

01/22/2002

Expiration Date

12/31/2001

City

ELBURN

State

Zip

60119

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005