MELISSA JEAN WYKSTRA Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057002686

License Status

INACTIVE

Business

First Name

MELISSA

Middle

JEAN

Last Name

WYKSTRA

Business Name

MELISSA JEAN WYKSTRA

Original Issue Date

03/28/2006

Effective Date

12/09/2013

Expiration Date

12/31/2015

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

10/15/2015