SUSAN T KACZMAREK Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057002084

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

Last Name

KACZMAREK

Business Name

SUSAN T KACZMAREK

Original Issue Date

09/26/2000

Effective Date

11/03/2003

Expiration Date

12/31/2005

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Ever Disciplined

LastModifiedDate

02/16/2006