SUSAN M GAUTHIER Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001566

License Status

NOT RENEWED

Business

First Name

SUSAN M

Last Name

GAUTHIER

Business Name

SUSAN M GAUTHIER

Original Issue Date

11/12/1997

Effective Date

11/21/2003

Expiration Date

12/31/2005

City

CHICAGO

State

Zip

60645

County

COOK

Ever Disciplined

LastModifiedDate

02/16/2006