TIMOTHY M CONNOLLY Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057003479

License Status

NOT RENEWED

Business

First Name

TIMOTHY

Middle

Last Name

CONNOLLY

Business Name

TIMOTHY M CONNOLLY

Original Issue Date

04/21/2011

Effective Date

12/07/2015

Expiration Date

12/31/2017

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

04/10/2018