COLLEEN MARIE SIMON Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001669

License Status

NOT RENEWED

Business

First Name

COLLEEN MARIE

Last Name

SIMON

Business Name

COLLEEN MARIE SIMON

Original Issue Date

05/15/1998

Effective Date

10/25/2005

Expiration Date

12/31/2007

City

JOLEIT

State

Zip

60432

County

WILL

Ever Disciplined

LastModifiedDate

03/31/2008