SUSAN PAULL GOLDBERG - Occupational Therapist License in Illinois | # 056003250

SUSAN PAULL GOLDBERG

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056003250

License Status

NOT RENEWED

Business

N

First Name

SUSAN PAULL

Last Name

GOLDBERG

Business Name

SUSAN PAULL GOLDBERG

Original Issue Date

09/29/1993

Effective Date

01/27/2004

Expiration Date

12/31/2003

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005