TAL BAZ - Occupational Therapist License in Illinois | # 056003862

TAL BAZ

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056003862

License Status

NOT RENEWED

Business

N

First Name

TAL

Last Name

BAZ

Business Name

TAL BAZ

Original Issue Date

09/29/1995

Effective Date

12/31/2003

Expiration Date

12/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

02/16/2006