LICHELLE AYESHA FERNANDO Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056006675

License Status

NOT RENEWED

Business

First Name

LICHELLE

Middle

AYESHA

Last Name

FERNANDO

Business Name

LICHELLE AYESHA FERNANDO

Original Issue Date

10/08/2002

Effective Date

10/25/2005

Expiration Date

12/31/2007

City

CHICAGO

State

Zip

60605

County

COOK

Ever Disciplined

LastModifiedDate

02/15/2008