KIRBY B STINE Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057000291

License Status

NOT RENEWED

Business

First Name

KIRBY B

Last Name

STINE

Business Name

KIRBY B STINE

Original Issue Date

12/17/1984

Effective Date

02/27/2002

Expiration Date

12/31/2001

City

FLOSSMOOR

State

Zip

60422

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005