MARY NORTH DOHERTY Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001273

License Status

NOT RENEWED

Business

First Name

MARY

Middle

NORTH

Last Name

DOHERTY

Business Name

MARY NORTH DOHERTY

Original Issue Date

03/12/1996

Effective Date

01/27/2004

Expiration Date

12/31/2003

City

CHICAGO

State

Zip

60643

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005