CAROL A FISH Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057000764

License Status

NOT RENEWED

Business

First Name

CAROL A

Last Name

FISH

Business Name

CAROL A FISH

Original Issue Date

07/11/1991

Effective Date

11/04/2009

Expiration Date

12/31/2011

City

LAKE ZURICH

State

Zip

60047

County

LAKE

Ever Disciplined

LastModifiedDate

02/08/2012