ROBERT EDWARD HAGEN Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056006445

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

EDWARD

Last Name

HAGEN

Business Name

ROBERT EDWARD HAGEN

Original Issue Date

04/08/2002

Effective Date

12/04/2003

Expiration Date

12/31/2005

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

02/16/2006