CHARLENE KIMBROUGH SHIELDS - Occupational Therapist License in Illinois | # 056004532

CHARLENE KIMBROUGH SHIELDS

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056004532

License Status

NOT RENEWED

Business

N

First Name

CHARLENE

Middle

KIMBROUGH

Last Name

SHIELDS

Business Name

CHARLENE KIMBROUGH SHIELDS

Original Issue Date

08/11/1997

Effective Date

12/18/2015

Expiration Date

12/31/2017

State

IL

Ever Disciplined

N

LastModifiedDate

04/10/2018