LAUREN SHERRYL SHAMPINE Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056010189

License Status

NOT RENEWED

Business

First Name

LAUREN

Middle

SHERRYL

Last Name

SHAMPINE

Business Name

LAUREN SHERRYL SHAMPINE

Original Issue Date

06/10/2013

Effective Date

10/08/2013

Expiration Date

12/31/2015

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

02/08/2016