JORDAN SARA NEWMARK WIRT Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056012282

License Status

NOT RENEWED

Business

First Name

JORDAN

Middle

SARA NEWMARK

Last Name

WIRT

Business Name

JORDAN SARA NEWMARK WIRT

Original Issue Date

12/04/2017

Effective Date

12/04/2017

Expiration Date

12/31/2019

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

03/05/2020