MICHELLE LEE WANDER Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001789

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

LEE

Last Name

WANDER

Business Name

MICHELLE LEE WANDER

Original Issue Date

11/09/1998

Effective Date

01/27/2004

Expiration Date

12/31/2003

City

SOUTH ELGIN

State

Zip

60177

County

KANE

Ever Disciplined

LastModifiedDate

09/11/2005