STEPHANIE KATHLEEN BERGMANN Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056008410

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

KATHLEEN

Last Name

BERGMANN

Business Name

STEPHANIE KATHLEEN BERGMANN

Original Issue Date

08/08/2008

Effective Date

11/25/2013

Expiration Date

12/31/2015

City

EVANSTON

State

Zip

60203

County

COOK

Ever Disciplined

LastModifiedDate

02/08/2016