MELINDA LENTZ BOSSERMAN Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056007477

License Status

NOT RENEWED

Business

First Name

MELINDA

Middle

LENTZ

Last Name

BOSSERMAN

Business Name

MELINDA LENTZ BOSSERMAN

Original Issue Date

05/25/2005

Effective Date

10/25/2005

Expiration Date

12/31/2007

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Ever Disciplined

LastModifiedDate

02/15/2008