MARY PENKO BALES - Occupational Therapist License in Illinois | # 056007235

MARY PENKO BALES

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056007235

License Status

NOT RENEWED

Business

N

First Name

MARY

Middle

PENKO

Last Name

BALES

Business Name

MARY PENKO BALES

Original Issue Date

07/13/2004

Effective Date

11/24/2009

Expiration Date

12/31/2011

State

IL

Ever Disciplined

N

LastModifiedDate

02/08/2012