TIFFANY HEATHER DIAMOND Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056011583

License Status

NOT RENEWED

Business

First Name

TIFFANY

Middle

HEATHER

Last Name

DIAMOND

Business Name

TIFFANY HEATHER DIAMOND

Original Issue Date

07/22/2016

Effective Date

12/06/2017

Expiration Date

12/31/2019

City

GRAYSLAKE

State

Zip

60030

County

LAKE

Ever Disciplined

LastModifiedDate

03/05/2020