CYNTHIA LYNN BLACKWELL Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056009866

License Status

NOT RENEWED

Business

First Name

CYNTHIA

Middle

LYNN

Last Name

BLACKWELL

Business Name

CYNTHIA LYNN BLACKWELL

Original Issue Date

09/07/2012

Effective Date

10/10/2017

Expiration Date

12/31/2019

City

CHICAGO

State

Zip

60618

County

COOK

Ever Disciplined

LastModifiedDate

03/05/2020