CAROLYN RUSSELL Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056014413

License Status

NOT RENEWED

Business

First Name

CAROLYN

Last Name

RUSSELL

Business Name

CAROLYN RUSSELL

Original Issue Date

08/20/2021

Effective Date

08/20/2021

Expiration Date

01/31/2022

City

CHICAGO

State

Zip

60654

County

COOK

Ever Disciplined

LastModifiedDate

05/18/2022