JOANNA SUSAN DETERMAN Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056005007

License Status

NOT RENEWED

Business

First Name

JOANNA

Middle

SUSAN

Last Name

DETERMAN

Business Name

JOANNA SUSAN DETERMAN

Original Issue Date

09/22/1998

Effective Date

10/25/2005

Expiration Date

12/31/2007

City

ANTIOCH

State

Zip

60002

County

LAKE

Ever Disciplined

LastModifiedDate

02/15/2008