AMANDA N ROMAN Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056007181

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

Last Name

ROMAN

Business Name

AMANDA N ROMAN

Original Issue Date

05/19/2004

Effective Date

11/29/2011

Expiration Date

12/31/2013

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

02/19/2014