TIFFANY C MATTINGLY - Occupational Therapist License in Illinois | # 056004384

TIFFANY C MATTINGLY

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056004384

License Status

NOT RENEWED

Business

N

First Name

TIFFANY C

Last Name

MATTINGLY

Business Name

TIFFANY C MATTINGLY

Original Issue Date

05/03/1997

Expiration Date

12/31/1999

State

IL

Ever Disciplined

N

LastModifiedDate

07/28/2005