COLLEEN RACHELLE CERVANTES Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057005527

License Status

NOT RENEWED

Business

First Name

COLLEEN

Middle

RACHELLE

Last Name

CERVANTES

Business Name

COLLEEN RACHELLE CERVANTES

Original Issue Date

01/14/2021

Effective Date

12/28/2021

Expiration Date

12/31/2023

City

SHOREWOOD

State

Zip

60404

Ever Disciplined

LastModifiedDate

03/28/2024