TERRA L GRYWALSKI Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056007161

License Status

NOT RENEWED

Business

First Name

TERRA

Middle

Last Name

GRYWALSKI

Business Name

TERRA L GRYWALSKI

Original Issue Date

04/21/2004

Effective Date

11/30/2009

Expiration Date

12/31/2011

City

CHICAGO

State

Zip

60661

County

COOK

Ever Disciplined

LastModifiedDate

02/08/2012