MEGAN ROSE SAMUELSON Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056013154

License Status

NOT RENEWED

Business

First Name

MEGAN

Middle

ROSE

Last Name

SAMUELSON

Business Name

MEGAN ROSE SAMUELSON

Original Issue Date

08/16/2019

Effective Date

01/09/2020

Expiration Date

01/31/2022

City

LA GRANGE PARK

State

Zip

60526

County

COOK

Ever Disciplined

LastModifiedDate

05/18/2022