MARY B ROTH - Occupational Therapist License in Illinois | # 056000097

MARY B ROTH

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056000097

License Status

INACTIVE

Business

N

First Name

MARY B

Last Name

ROTH

Business Name

MARY B ROTH

Original Issue Date

05/01/1984

Effective Date

02/03/2004

Expiration Date

12/31/2003

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005