BROOKE NICOLE GRANDT Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056010458

License Status

NOT RENEWED

Business

First Name

BROOKE

Middle

NICOLE

Last Name

GRANDT

Business Name

BROOKE NICOLE GRANDT

Original Issue Date

02/20/2014

Effective Date

10/10/2017

Expiration Date

12/31/2019

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Ever Disciplined

LastModifiedDate

03/05/2020