MALLORY J MACEYAK - Occupational Therapist License in Illinois | # 056009995

MALLORY J MACEYAK

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056009995

License Status

NOT RENEWED

Business

N

First Name

MALLORY

Middle

J

Last Name

MACEYAK

Business Name

MALLORY J MACEYAK

Original Issue Date

12/24/2012

Effective Date

11/12/2013

Expiration Date

12/31/2015

State

IL

Ever Disciplined

N

LastModifiedDate

02/08/2016