MELANIE P PURVIANCE - Occupational Therapist License in Illinois | # 056000582

MELANIE P PURVIANCE

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056000582

License Status

INACTIVE

Business

N

First Name

MELANIE P

Last Name

PURVIANCE

Business Name

MELANIE P PURVIANCE

Original Issue Date

06/19/1984

Effective Date

11/21/2003

Expiration Date

12/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/25/2005