STEFANI RAE WIENER Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056006453

License Status

NOT RENEWED

Business

First Name

STEFANI

Middle

RAE

Last Name

WIENER

Business Name

STEFANI RAE WIENER

Original Issue Date

04/08/2002

Effective Date

10/25/2005

Expiration Date

12/31/2007

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

02/15/2008