KRISTIN MARIE WALL Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056007919

License Status

NOT RENEWED

Business

First Name

KRISTIN

Middle

MARIE

Last Name

WALL

Business Name

KRISTIN MARIE WALL

Original Issue Date

10/20/2006

Effective Date

12/05/2013

Expiration Date

12/31/2015

City

EVANSTON

State

Zip

60202

County

COOK

Ever Disciplined

LastModifiedDate

02/08/2016