STEVEN KISH JR - Occupational Therapist License in Illinois | # 056004469

STEVEN KISH JR

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056004469

License Status

INACTIVE

Business

N

First Name

STEVEN

Last Name

KISH JR

Business Name

STEVEN KISH JR

Original Issue Date

05/13/1997

Effective Date

12/01/2003

Expiration Date

12/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/25/2005