MONICA MARIE PACKARD - Occupational Therapist License in Illinois | # 056006213

MONICA MARIE PACKARD

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056006213

License Status

NOT RENEWED

Business

N

First Name

MONICA

Middle

MARIE

Last Name

PACKARD

Business Name

MONICA MARIE PACKARD

Original Issue Date

07/10/2001

Effective Date

10/02/2009

Expiration Date

12/31/2011

State

IL

Ever Disciplined

N

LastModifiedDate

02/08/2012