GAUTAM K PATEL Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056004855

License Status

NOT RENEWED

Business

First Name

GAUTAM

Middle

Last Name

PATEL

Business Name

GAUTAM K PATEL

Original Issue Date

05/06/1998

Effective Date

01/14/2004

Expiration Date

12/31/2005

City

ADDISON

State

Zip

60101

County

DUPAGE

Ever Disciplined

LastModifiedDate

02/16/2006