SYRENA A STANFORD Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056009659

License Status

NOT RENEWED

Business

First Name

SYRENA

Middle

Last Name

STANFORD

Business Name

SYRENA A STANFORD

Original Issue Date

02/06/2012

Effective Date

11/27/2017

Expiration Date

12/31/2019

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Ever Disciplined

LastModifiedDate

03/05/2020