SHANE P ALLEN Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056010550

License Status

NOT RENEWED

Business

First Name

SHANE

Middle

Last Name

ALLEN

Business Name

SHANE P ALLEN

Original Issue Date

04/14/2014

Effective Date

12/29/2021

Expiration Date

12/31/2023

City

CHICAGO

State

Zip

60623

County

COOK

Ever Disciplined

LastModifiedDate

03/28/2024