KIMBERLY JANE THE Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056011659

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

JANE

Last Name

THE

Business Name

KIMBERLY JANE THE

Original Issue Date

09/02/2016

Effective Date

10/10/2017

Expiration Date

12/31/2019

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

03/05/2020