LUCIANA NICOLE PENN - Occupational Therapist License in Illinois | # 056007445

LUCIANA NICOLE PENN

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056007445

License Status

NOT RENEWED

Business

N

First Name

LUCIANA

Middle

NICOLE

Last Name

PENN

Business Name

LUCIANA NICOLE PENN

Original Issue Date

04/20/2005

Effective Date

12/25/2023

Expiration Date

12/31/2025

State

IL

Ever Disciplined

N

LastModifiedDate

04/01/2026