ANGELA ELIZABETH MADDOX - Occupational Therapist License in Illinois | # 056007340

ANGELA ELIZABETH MADDOX

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056007340

License Status

NOT RENEWED

Business

N

First Name

ANGELA

Middle

ELIZABETH

Last Name

MADDOX

Business Name

ANGELA ELIZABETH MADDOX

Original Issue Date

12/08/2004

Effective Date

01/07/2010

Expiration Date

12/31/2011

State

IL

Ever Disciplined

N

LastModifiedDate

02/08/2012