ERNEST MAE GORDON Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057000096

License Status

NOT RENEWED

Business

First Name

ERNEST MAE

Last Name

GORDON

Business Name

ERNEST MAE GORDON

Original Issue Date

06/19/1984

Effective Date

10/25/2005

Expiration Date

12/31/2007

City

CHICAGO

State

Zip

60619

County

COOK

Ever Disciplined

LastModifiedDate

03/31/2008