CAROL ANN LONG Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056006217

License Status

NOT RENEWED

Business

First Name

CAROL

Middle

ANN

Last Name

LONG

Business Name

CAROL ANN LONG

Original Issue Date

07/25/2001

Effective Date

10/25/2005

Expiration Date

12/31/2007

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

02/15/2008