ANNA BLANCHARD DDS Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001280

License Status

NOT RENEWED

Business

First Name

ANNA

Last Name

BLANCHARD

Suffix

DDS

Business Name

ANNA BLANCHARD DDS

Original Issue Date

03/14/1996

Effective Date

11/17/2003

Expiration Date

12/31/2005

City

GLENVIEW

State

Zip

60025

Ever Disciplined

LastModifiedDate

02/16/2006