KATHY ANN EICHENLAUB Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057002012

License Status

INACTIVE

Business

First Name

KATHY

Middle

ANN

Last Name

EICHENLAUB

Business Name

KATHY ANN EICHENLAUB

Original Issue Date

05/18/2000

Effective Date

01/02/2018

Expiration Date

12/31/2019

City

MOKENA

State

Zip

60448

County

WILL

Ever Disciplined

LastModifiedDate

10/02/2019