MICHELLE KATHLEEN WIRTH Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056011970

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

KATHLEEN

Last Name

WIRTH

Business Name

MICHELLE KATHLEEN WIRTH

Original Issue Date

04/13/2017

Effective Date

11/27/2017

Expiration Date

12/31/2019

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

03/05/2020