KEITH D BENNETT Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057000561

License Status

NOT RENEWED

Business

First Name

KEITH D

Last Name

BENNETT

Business Name

KEITH D BENNETT

Original Issue Date

03/07/1989

Effective Date

01/27/2004

Expiration Date

12/31/2003

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005