CLINIQUE SHAWNTEE OUTLAND Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056012140

License Status

NOT RENEWED

Business

First Name

CLINIQUE

Middle

SHAWNTEE

Last Name

OUTLAND

Business Name

CLINIQUE SHAWNTEE OUTLAND

Original Issue Date

09/27/2017

Effective Date

09/27/2017

Expiration Date

12/31/2017

City

EVERGREEN PARK

State

Zip

60805

County

COOK

Ever Disciplined

LastModifiedDate

04/10/2018