MARY J KIRCHBERG - Occupational Therapist License in Illinois | # 056006624

MARY J KIRCHBERG

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056006624

License Status

NOT RENEWED

Business

N

First Name

MARY

Middle

J

Last Name

KIRCHBERG

Business Name

MARY J KIRCHBERG

Original Issue Date

08/14/2002

Effective Date

10/25/2005

Expiration Date

12/31/2007

State

IL

Ever Disciplined

N

LastModifiedDate

02/15/2008