HAZEL MARIE SHIPMAN Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057002120

License Status

NOT RENEWED

Business

First Name

HAZEL

Middle

MARIE

Last Name

SHIPMAN

Business Name

HAZEL MARIE SHIPMAN

Original Issue Date

11/01/2000

Effective Date

10/25/2005

Expiration Date

12/31/2007

City

NAPERVILLE

State

Zip

60564

County

WILL

Ever Disciplined

LastModifiedDate

03/31/2008