KELLY B SMALL Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057002861

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

Last Name

SMALL

Business Name

KELLY B SMALL

Original Issue Date

08/13/2007

Effective Date

10/10/2007

Expiration Date

12/31/2009

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Ever Disciplined

LastModifiedDate

02/04/2010