KELLY JEAN LARSEN Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057003530

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

JEAN

Last Name

LARSEN

Business Name

KELLY JEAN LARSEN

Original Issue Date

03/06/2012

Effective Date

10/06/2017

Expiration Date

12/31/2019

City

WHEELING

State

Zip

60090

County

COOK

Ever Disciplined

LastModifiedDate

03/05/2020