SAMMY MARTIN CARONONGAN - Occupational Therapist License in Illinois | # 056014627

SAMMY MARTIN CARONONGAN

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056014627

License Status

NOT RENEWED

Business

N

First Name

SAMMY

Middle

MARTIN

Last Name

CARONONGAN

Business Name

SAMMY MARTIN CARONONGAN

Original Issue Date

11/15/2021

Effective Date

12/05/2023

Expiration Date

12/31/2025

State

IL

Ever Disciplined

N

LastModifiedDate

04/01/2026