SUSAN AILEEN PAYNE Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001490

License Status

NOT RENEWED

Business

First Name

SUSAN AILEEN

Last Name

PAYNE

Business Name

SUSAN AILEEN PAYNE

Original Issue Date

05/27/1997

Effective Date

01/27/2004

Expiration Date

12/31/2003

City

SHOREWOOD

State

Zip

60431

County

WILL

Ever Disciplined

LastModifiedDate

09/11/2005