KATHLEEN PHANOUVONG Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057004409

License Status

NOT RENEWED

Business

First Name

KATHLEEN

Last Name

PHANOUVONG

Business Name

KATHLEEN PHANOUVONG

Original Issue Date

11/16/2015

Effective Date

12/16/2021

Expiration Date

12/31/2023

City

JOLIET

State

Zip

60435

County

DUPAGE

Ever Disciplined

LastModifiedDate

03/28/2024