ANGELA MARIE DAVAULT - Occupational Therapist License in Illinois | # 056007386

ANGELA MARIE DAVAULT

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056007386

License Status

INACTIVE

Business

N

First Name

ANGELA

Middle

MARIE

Last Name

DAVAULT

Business Name

ANGELA MARIE DAVAULT

Original Issue Date

03/09/2005

Effective Date

10/06/2017

Expiration Date

12/31/2019

State

IL

Ever Disciplined

N

LastModifiedDate

10/02/2019