ELIZABETH A WALLENFANG - Occupational Therapist License in Illinois | # 056000453

ELIZABETH A WALLENFANG

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056000453

License Status

NOT RENEWED

Business

N

First Name

ELIZABETH A

Last Name

WALLENFANG

Business Name

ELIZABETH A WALLENFANG

Original Issue Date

06/11/1984

Expiration Date

12/31/1987

State

IL

Ever Disciplined

N

LastModifiedDate

07/28/2005