TERRI YVONNE BLAKELY Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056004361

License Status

NOT RENEWED

Business

First Name

TERRI YVONNE

Last Name

BLAKELY

Business Name

TERRI YVONNE BLAKELY

Original Issue Date

04/03/1997

Effective Date

02/27/2002

Expiration Date

12/31/2001

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005