MEGAN ROSE SAMUELSON - Occupational Therapist License in Illinois | # 056013154

MEGAN ROSE SAMUELSON

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056013154

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

05/18/2022