ADRIENNE BORCHARDT SMITH Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056012278

License Status

NOT RENEWED

Business

First Name

ADRIENNE

Middle

BORCHARDT

Last Name

SMITH

Business Name

ADRIENNE BORCHARDT SMITH

Original Issue Date

12/01/2017

Effective Date

12/01/2017

Expiration Date

12/31/2019

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

03/05/2020