SUSAN ELIZABETH DETAR Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056009266

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

ELIZABETH

Last Name

DETAR

Business Name

SUSAN ELIZABETH DETAR

Original Issue Date

01/18/2011

Effective Date

11/12/2019

Expiration Date

01/31/2022

City

LAKE ZURICH

State

Zip

60047

County

LAKE

Ever Disciplined

LastModifiedDate

05/18/2022