EVELYN MICHELLE KIDD Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056011652

License Status

NOT RENEWED

Business

First Name

EVELYN

Middle

MICHELLE

Last Name

KIDD

Business Name

EVELYN MICHELLE KIDD

Original Issue Date

08/31/2016

Effective Date

12/11/2019

Expiration Date

01/31/2022

City

VENTNOR

State

Zip

08406

County

COOK

Ever Disciplined

LastModifiedDate

05/18/2022