BARBARA ELLEN DHOM Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057000985

License Status

NOT RENEWED

Business

First Name

BARBARA ELLEN

Last Name

DHOM

Business Name

BARBARA ELLEN DHOM

Original Issue Date

03/17/1994

Effective Date

11/07/2011

Expiration Date

12/31/2013

City

MOMENCE

State

Zip

60954

County

KANKAKEE

Ever Disciplined

LastModifiedDate

02/19/2014