CAROLYN W BLANK - Occupational Therapist License in Illinois | # 056006922

CAROLYN W BLANK

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056006922

License Status

NOT RENEWED

Business

N

First Name

CAROLYN

Middle

W

Last Name

BLANK

Business Name

CAROLYN W BLANK

Original Issue Date

08/04/2003

Effective Date

12/20/2013

Expiration Date

12/31/2015

State

IL

Ever Disciplined

N

LastModifiedDate

02/08/2016