DEE A DECOSTERD Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056004494

License Status

NOT RENEWED

Business

First Name

DEE A

Last Name

DECOSTERD

Business Name

DEE A DECOSTERD

Original Issue Date

06/17/1997

Effective Date

10/06/2017

Expiration Date

12/31/2019

City

SAINT CHARLES

State

Zip

60175

County

KANE

Ever Disciplined

LastModifiedDate

03/05/2020