KATE BRIDGET BACON Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056006612

License Status

INACTIVE

Business

First Name

KATE

Middle

BRIDGET

Last Name

BACON

Business Name

KATE BRIDGET BACON

Original Issue Date

07/26/2002

Effective Date

11/18/2009

Expiration Date

12/31/2011

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

10/05/2011