LESLIE F BOURGOYNE - Occupational Therapist License in Illinois | # 056003159

LESLIE F BOURGOYNE

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056003159

License Status

NOT RENEWED

Business

N

First Name

LESLIE F

Last Name

BOURGOYNE

Business Name

LESLIE F BOURGOYNE

Original Issue Date

07/29/1993

Expiration Date

12/31/1995

State

IL

Ever Disciplined

N

LastModifiedDate

07/28/2005