SHIRLEY ANN BENTON Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057000300

License Status

NOT RENEWED

Business

First Name

SHIRLEY ANN

Last Name

BENTON

Business Name

SHIRLEY ANN BENTON

Original Issue Date

04/08/1985

Effective Date

10/25/2005

Expiration Date

12/31/2007

City

CHICAGO

State

Zip

60680

County

COOK

Ever Disciplined

LastModifiedDate

03/31/2008