ERIC ANTHONY KIRBY Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056006325

License Status

NOT RENEWED

Business

First Name

ERIC

Middle

ANTHONY

Last Name

KIRBY

Business Name

ERIC ANTHONY KIRBY

Original Issue Date

11/14/2001

Effective Date

12/12/2017

Expiration Date

12/31/2019

City

BERWYN

State

Zip

60402

County

COOK

Ever Disciplined

LastModifiedDate

03/05/2020