MICHELE MARIE SIMON Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001895

License Status

NOT RENEWED

Business

First Name

MICHELE

Middle

MARIE

Last Name

SIMON

Business Name

MICHELE MARIE SIMON

Original Issue Date

05/12/1999

Effective Date

01/27/2004

Expiration Date

12/31/2003

City

WHEATON

State

Zip

60187

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/11/2005