TAMA CHARLOTTE SMITH Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056005124

License Status

NOT RENEWED

Business

First Name

TAMA

Middle

CHARLOTTE

Last Name

SMITH

Business Name

TAMA CHARLOTTE SMITH

Original Issue Date

11/12/1998

Effective Date

02/27/2002

Expiration Date

12/31/2001

City

GLENVIEW

State

Zip

60025

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005