M COLLEEN PEDDICORD BAUGHN Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056007153

License Status

NOT RENEWED

Business

First Name

M COLLEEN

Last Name

PEDDICORD BAUGHN

Business Name

M COLLEEN PEDDICORD BAUGHN

Original Issue Date

04/09/2004

Effective Date

04/09/2004

Expiration Date

12/31/2005

City

LAKE ZURICH

State

Zip

60047

County

LAKE

Ever Disciplined

LastModifiedDate

02/16/2006