JOHN CARLO SHUN BASE Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056009939

License Status

NOT RENEWED

Business

First Name

JOHN CARLO

Middle

SHUN

Last Name

BASE

Business Name

JOHN CARLO SHUN BASE

Original Issue Date

10/26/2012

Effective Date

11/02/2015

Expiration Date

12/31/2017

City

DARIEN

State

Zip

60561

County

DUPAGE

Ever Disciplined

LastModifiedDate

04/10/2018