TRACY CALLAHAN BREITENSTEIN Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056009914

License Status

NOT RENEWED

Business

First Name

TRACY

Middle

CALLAHAN

Last Name

BREITENSTEIN

Business Name

TRACY CALLAHAN BREITENSTEIN

Original Issue Date

10/09/2012

Effective Date

10/25/2013

Expiration Date

12/31/2015

City

CHICAGO

State

Zip

60626

County

COOK

Ever Disciplined

LastModifiedDate

02/08/2016