TAL B GOLDSTEIN Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056009209

License Status

NOT RENEWED

Business

First Name

TAL

Middle

Last Name

GOLDSTEIN

Business Name

TAL B GOLDSTEIN

Original Issue Date

10/25/2010

Effective Date

10/25/2010

Expiration Date

12/31/2011

City

CHICAGO

State

Zip

60645

County

COOK

Ever Disciplined

LastModifiedDate

02/08/2012