LAURA RAE STARK Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056009565

License Status

NOT RENEWED

Business

First Name

LAURA

Middle

RAE

Last Name

STARK

Business Name

LAURA RAE STARK

Original Issue Date

10/14/2011

Effective Date

11/25/2013

Expiration Date

12/31/2015

City

CHICAGO

State

Zip

60660

County

COOK

Ever Disciplined

LastModifiedDate

02/08/2016