LORA RENAE BRUNKHORST Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057003259

License Status

INACTIVE

Business

First Name

LORA

Middle

RENAE

Last Name

BRUNKHORST

Business Name

LORA RENAE BRUNKHORST

Original Issue Date

07/26/2010

Effective Date

11/22/2011

Expiration Date

12/31/2013

City

FOREST PARK

State

Zip

60130

County

COOK

Ever Disciplined

LastModifiedDate

10/04/2013