LORI DIANE RENTERIA Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056006404

License Status

INACTIVE

Business

First Name

LORI

Middle

DIANE

Last Name

RENTERIA

Business Name

LORI DIANE RENTERIA

Original Issue Date

01/30/2002

Effective Date

01/26/2004

Expiration Date

12/31/2003

City

ST CHARLES

State

Zip

60174

County

KANE

Ever Disciplined

LastModifiedDate

09/11/2005