TRACI E WING Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056005442

License Status

NOT RENEWED

Business

First Name

TRACI

Middle

Last Name

WING

Business Name

TRACI E WING

Original Issue Date

06/23/1999

Effective Date

02/27/2002

Expiration Date

12/31/2001

City

EVANSTON

State

Zip

60202

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005