SUSAN RAE SORRENTINO Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057002045

License Status

INACTIVE

Business

First Name

SUSAN

Middle

RAE

Last Name

SORRENTINO

Business Name

SUSAN RAE SORRENTINO

Original Issue Date

05/18/2000

Effective Date

10/31/2001

Expiration Date

12/31/2001

City

LANSING

State

Zip

60438

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005