GENESIA D MIMS Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057002600

License Status

NOT RENEWED

Business

First Name

GENESIA

Middle

Last Name

MIMS

Business Name

GENESIA D MIMS

Original Issue Date

06/20/2005

Effective Date

10/10/2007

Expiration Date

12/31/2009

City

ALSIP

State

Zip

60803

County

COOK

Ever Disciplined

LastModifiedDate

02/04/2010