MARSHA ANN FOWLER Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056007291

License Status

NOT RENEWED

Business

First Name

MARSHA

Middle

ANN

Last Name

FOWLER

Business Name

MARSHA ANN FOWLER

Original Issue Date

09/29/2004

Effective Date

10/02/2009

Expiration Date

12/31/2011

City

GENEVA

State

Zip

60134

County

KANE

Ever Disciplined

LastModifiedDate

02/08/2012