ERICA ANN VANDERVORT Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057004570

License Status

NOT RENEWED

Business

First Name

ERICA

Middle

ANN

Last Name

VANDERVORT

Business Name

ERICA ANN VANDERVORT

Original Issue Date

07/13/2016

Effective Date

07/13/2016

Expiration Date

12/31/2017

City

CHICAGO

State

Zip

60638

County

COOK

Ever Disciplined

LastModifiedDate

04/10/2018