KATHLEEN A BLAHA Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056007011

License Status

NOT RENEWED

Business

First Name

KATHLEEN

Middle

Last Name

BLAHA

Business Name

KATHLEEN A BLAHA

Original Issue Date

10/08/2003

Effective Date

10/14/2009

Expiration Date

12/31/2011

City

ST CHARLES

State

Zip

60174

County

KANE

Ever Disciplined

LastModifiedDate

02/08/2012