TARA LYNNE LEBLANC Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056008135

License Status

NOT RENEWED

Business

First Name

TARA

Middle

LYNNE

Last Name

LEBLANC

Business Name

TARA LYNNE LEBLANC

Original Issue Date

09/12/2007

Effective Date

10/02/2009

Expiration Date

12/31/2011

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

02/08/2012