ANDREA LEIGH COFFMAN Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056006615

License Status

NOT RENEWED

Business

First Name

ANDREA

Middle

LEIGH

Last Name

COFFMAN

Business Name

ANDREA LEIGH COFFMAN

Original Issue Date

07/29/2002

Effective Date

12/08/2015

Expiration Date

12/31/2017

City

GRAYSLAKE

State

Zip

60030

County

LAKE

Ever Disciplined

LastModifiedDate

04/10/2018