EMILY W BROUILLETTE Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056006454

License Status

INACTIVE

Business

First Name

EMILY

Middle

Last Name

BROUILLETTE

Business Name

EMILY W BROUILLETTE

Original Issue Date

04/08/2002

Effective Date

12/09/2015

Expiration Date

12/31/2017

City

PALOS HILLS

State

Zip

60465

County

COOK

Ever Disciplined

LastModifiedDate

10/06/2017