KIM BERNADETTE JOHNSON Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001876

License Status

NOT RENEWED

Business

First Name

KIM

Middle

BERNADETTE

Last Name

JOHNSON

Business Name

KIM BERNADETTE JOHNSON

Original Issue Date

05/12/1999

Effective Date

12/18/2017

Expiration Date

12/31/2019

City

LANSING

State

Zip

60438

County

COOK

Ever Disciplined

LastModifiedDate

09/18/2021

Case Number

2021004553

Action

Suspension

Discipline Start Date

09/17/2021

Discipline End Date

12/06/2021

Discipline Reason

Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 12/07/2021.