AMANDA A FERNANDES Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056008869

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

Last Name

FERNANDES

Business Name

AMANDA A FERNANDES

Original Issue Date

10/28/2009

Effective Date

11/30/2015

Expiration Date

12/31/2017

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

04/10/2018