SELENA DIANE GONZALEZ - Occupational Therapist License in Illinois | # 056005111

SELENA DIANE GONZALEZ

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056005111

License Status

NOT RENEWED

Business

N

First Name

SELENA

Middle

DIANE

Last Name

GONZALEZ

Business Name

SELENA DIANE GONZALEZ

Original Issue Date

11/12/1998

Effective Date

01/27/2004

Expiration Date

12/31/2003

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005