RENAE ELLEN SIEWERT Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056005798

License Status

NOT RENEWED

Business

First Name

RENAE

Middle

ELLEN

Last Name

SIEWERT

Business Name

RENAE ELLEN SIEWERT

Original Issue Date

05/18/2000

Effective Date

02/27/2002

Expiration Date

12/31/2001

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005