RUSSELL W TERRILL Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001214

License Status

NOT RENEWED

Business

First Name

RUSSELL

Middle

Last Name

TERRILL

Business Name

RUSSELL W TERRILL

Original Issue Date

01/18/1996

Effective Date

11/29/2011

Expiration Date

12/31/2013

City

BLOOMINGDALE

State

Zip

60108

County

DUPAGE

Ever Disciplined

LastModifiedDate

02/19/2014