TAMMY JEAN HYNEK BAST Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056006370

License Status

NOT RENEWED

Business

First Name

TAMMY

Middle

JEAN

Last Name

HYNEK BAST

Business Name

TAMMY JEAN HYNEK BAST

Original Issue Date

11/26/2001

Effective Date

12/15/2003

Expiration Date

12/31/2005

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Ever Disciplined

LastModifiedDate

02/16/2006