ELIZABETH MARION RUSSO Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056006905

License Status

NOT RENEWED

Business

First Name

ELIZABETH

Middle

MARION

Last Name

RUSSO

Business Name

ELIZABETH MARION RUSSO

Original Issue Date

06/24/2003

Effective Date

11/07/2003

Expiration Date

12/31/2005

City

WILMETTE

State

Zip

60091

County

COOK

Ever Disciplined

LastModifiedDate

02/16/2006