AVIVA E BLAUSTEIN Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056009966

License Status

NOT RENEWED

Business

First Name

AVIVA

Middle

Last Name

BLAUSTEIN

Business Name

AVIVA E BLAUSTEIN

Original Issue Date

11/20/2012

Effective Date

11/25/2013

Expiration Date

12/31/2015

City

CHICAGO

State

Zip

60645

County

COOK

Ever Disciplined

LastModifiedDate

02/08/2016