CATHY AMBROSE Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001239

License Status

INACTIVE

Business

First Name

CATHY

Last Name

AMBROSE

Business Name

CATHY AMBROSE

Original Issue Date

03/06/1996

Effective Date

12/19/2019

Expiration Date

12/31/2021

City

BOLINGBROOK

State

Zip

60440

County

WILL

Ever Disciplined

LastModifiedDate

12/04/2021