SHANNON MARIE MARTIN Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056007411

License Status

NOT RENEWED

Business

First Name

SHANNON

Middle

MARIE

Last Name

MARTIN

Business Name

SHANNON MARIE MARTIN

Original Issue Date

03/30/2005

Effective Date

12/14/2011

Expiration Date

12/31/2013

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

02/19/2014