BRENDA LYNN BEITZEL Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056007775

License Status

NOT RENEWED

Business

First Name

BRENDA

Middle

LYNN

Last Name

BEITZEL

Business Name

BRENDA LYNN BEITZEL

Original Issue Date

05/08/2006

Effective Date

10/10/2007

Expiration Date

12/31/2009

City

GRAYSLAKE

State

Zip

60030

County

LAKE

Ever Disciplined

LastModifiedDate

02/04/2010