AMY ROSE POTTER Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056005824

License Status

INACTIVE

Business

First Name

AMY

Middle

ROSE

Last Name

POTTER

Business Name

AMY ROSE POTTER

Original Issue Date

05/23/2000

Effective Date

12/01/2003

Expiration Date

12/31/2005

City

EVANSTON

State

Zip

60202

County

COOK

Ever Disciplined

LastModifiedDate

10/25/2005