CRYSTAL M DIRKS Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057004588

License Status

NOT RENEWED

Business

First Name

CRYSTAL

Middle

Last Name

DIRKS

Business Name

CRYSTAL M DIRKS

Original Issue Date

08/02/2016

Effective Date

10/24/2019

Expiration Date

01/31/2022

City

VILLA PARK

State

Zip

60181

County

COOK

Ever Disciplined

LastModifiedDate

05/18/2022