FREDERICK DALE MAHAFFEY Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056005075

License Status

NOT RENEWED

Business

First Name

FREDERICK

Middle

DALE

Last Name

MAHAFFEY

Business Name

FREDERICK DALE MAHAFFEY

Original Issue Date

11/10/1998

Effective Date

10/09/2013

Expiration Date

12/31/2015

City

CHICAGO

State

Zip

60626

County

COOK

Ever Disciplined

LastModifiedDate

02/08/2016