CAROL A BACALLAO - Occupational Therapist License in Illinois | # 056003157

CAROL A BACALLAO

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056003157

License Status

NOT RENEWED

Business

N

First Name

CAROL A

Last Name

BACALLAO

Business Name

CAROL A BACALLAO

Original Issue Date

07/29/1993

Expiration Date

12/31/1997

State

IL

Ever Disciplined

N

LastModifiedDate

07/28/2005