KATE BRIDGET BACON - Occupational Therapist License in Illinois | # 056006612

KATE BRIDGET BACON

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056006612

License Status

INACTIVE

Business

N

First Name

KATE

Middle

BRIDGET

Last Name

BACON

Business Name

KATE BRIDGET BACON

Original Issue Date

07/26/2002

Effective Date

11/18/2009

Expiration Date

12/31/2011

State

IL

Ever Disciplined

N

LastModifiedDate

10/05/2011