SUSANNE W GAGE Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057002019

License Status

NOT RENEWED

Business

First Name

SUSANNE

Middle

Last Name

GAGE

Business Name

SUSANNE W GAGE

Original Issue Date

05/18/2000

Effective Date

11/25/2019

Expiration Date

01/31/2022

City

HANOVER PARK

State

Zip

60133

County

COOK

Ever Disciplined

LastModifiedDate

05/18/2022