AMANDA ELLE SHANGOLD Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056010767

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

ELLE

Last Name

SHANGOLD

Business Name

AMANDA ELLE SHANGOLD

Original Issue Date

09/30/2014

Effective Date

12/21/2015

Expiration Date

12/31/2017

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

04/10/2018