CYNTHIA K ROTH Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057000098

License Status

NOT RENEWED

Business

First Name

CYNTHIA K

Last Name

ROTH

Business Name

CYNTHIA K ROTH

Original Issue Date

06/19/1984

Effective Date

12/03/2015

Expiration Date

12/31/2017

City

ELGIN

State

Zip

60120

County

KANE

Ever Disciplined

LastModifiedDate

04/10/2018