KATHLEEN MARY HAAS Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001616

License Status

INACTIVE

Business

First Name

KATHLEEN MARY

Last Name

HAAS

Business Name

KATHLEEN MARY HAAS

Original Issue Date

02/25/1998

Effective Date

02/20/2004

Expiration Date

12/31/2003

City

NEW LENOX

State

Zip

60451

County

WILL

Ever Disciplined

LastModifiedDate

09/11/2005