ELAINE F MENDOZA - Occupational Therapist License in Illinois | # 056001838

ELAINE F MENDOZA

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056001838

License Status

NOT RENEWED

Business

N

First Name

ELAINE

Middle

F

Last Name

MENDOZA

Business Name

ELAINE F MENDOZA

Original Issue Date

09/05/1987

Effective Date

01/02/2014

Expiration Date

12/31/2015

State

IL

Ever Disciplined

N

LastModifiedDate

02/08/2016