KATHLEEN A POONYOTHAITIP Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001266

License Status

NOT RENEWED

Business

First Name

KATHLEEN A

Last Name

POONYOTHAITIP

Business Name

KATHLEEN A POONYOTHAITIP

Original Issue Date

03/07/1996

Effective Date

12/17/2019

Expiration Date

01/31/2022

City

WARRENVILLE

State

Zip

60555

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/18/2022