PATRICIA A FENNER Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057000733

License Status

NOT RENEWED

Business

First Name

PATRICIA

Middle

Last Name

FENNER

Business Name

PATRICIA A FENNER

Original Issue Date

03/19/1991

Effective Date

10/10/2007

Expiration Date

12/31/2009

City

MANTENO

State

Zip

60950

County

KANKAKEE

Ever Disciplined

LastModifiedDate

02/04/2010