CAITLIN ROSE SULLIVAN BERG Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056011718

License Status

NOT RENEWED

Business

First Name

CAITLIN

Middle

ROSE SULLIVAN

Last Name

BERG

Business Name

CAITLIN ROSE SULLIVAN BERG

Original Issue Date

10/18/2016

Effective Date

10/18/2016

Expiration Date

12/31/2017

City

NORTHFIELD

State

Zip

60093

County

COOK

Ever Disciplined

LastModifiedDate

04/10/2018