SALLY ANN CARLQUIST - Occupational Therapist License in Illinois | # 056000263

SALLY ANN CARLQUIST

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056000263

License Status

NOT RENEWED

Business

N

First Name

SALLY ANN

Last Name

CARLQUIST

Business Name

SALLY ANN CARLQUIST

Original Issue Date

05/16/1984

Expiration Date

12/31/1985

State

IL

Ever Disciplined

N

LastModifiedDate

07/28/2005