GAYLE J FOTHERGILL Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057000672

License Status

NOT RENEWED

Business

First Name

GAYLE J

Last Name

FOTHERGILL

Business Name

GAYLE J FOTHERGILL

Original Issue Date

04/11/1990

Expiration Date

12/31/1991

City

WESTCHESTER

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

07/28/2005