MEGAN J RUSSELL Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056007174

License Status

NOT RENEWED

Business

First Name

MEGAN

Middle

Last Name

RUSSELL

Business Name

MEGAN J RUSSELL

Original Issue Date

05/19/2004

Effective Date

12/22/2015

Expiration Date

12/31/2017

City

OAK PARK

State

Zip

60304

County

COOK

Ever Disciplined

LastModifiedDate

04/10/2018