MICHELLE RENEE BURNETTE Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057002576

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

RENEE

Last Name

BURNETTE

Business Name

MICHELLE RENEE BURNETTE

Original Issue Date

03/29/2005

Effective Date

03/29/2005

Expiration Date

12/31/2005

City

FORT SHERIDAN

State

Zip

60037

County

LAKE

Ever Disciplined

LastModifiedDate

02/16/2006