DONNA MARIE PETERSON Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057003382

License Status

NOT RENEWED

Business

First Name

DONNA

Middle

MARIE

Last Name

PETERSON

Business Name

DONNA MARIE PETERSON

Original Issue Date

04/22/2011

Effective Date

01/02/2020

Expiration Date

01/31/2022

City

CHICAGO HEIGHTS

State

Zip

60411

County

COOK

Ever Disciplined

LastModifiedDate

05/18/2022