ERIC RYAN MOSS Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056011524

License Status

NOT RENEWED

Business

First Name

ERIC

Middle

RYAN

Last Name

MOSS

Business Name

ERIC RYAN MOSS

Original Issue Date

05/10/2016

Effective Date

05/10/2016

Expiration Date

12/31/2017

City

DES PLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

04/10/2018