ADAM JOSEPH HACKMAN Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056007529

License Status

NOT RENEWED

Business

First Name

ADAM

Middle

JOSEPH

Last Name

HACKMAN

Business Name

ADAM JOSEPH HACKMAN

Original Issue Date

08/08/2005

Effective Date

12/14/2009

Expiration Date

12/31/2011

City

CREST HILL

State

Zip

60403

County

WILL

Ever Disciplined

LastModifiedDate

02/08/2012