KELLY A BRERETON Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056004803

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

Last Name

BRERETON

Business Name

KELLY A BRERETON

Original Issue Date

05/05/1998

Effective Date

11/20/2003

Expiration Date

12/31/2005

City

PALATINE

State

Zip

60067

County

COOK

Ever Disciplined

LastModifiedDate

02/16/2006