SAMANTHA NICOLE MENDOZA - Occupational Therapist License in Illinois | # 056015222

SAMANTHA NICOLE MENDOZA

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056015222

License Status

NOT RENEWED

Business

N

First Name

SAMANTHA

Middle

NICOLE

Last Name

MENDOZA

Business Name

SAMANTHA NICOLE MENDOZA

Original Issue Date

11/16/2022

Effective Date

11/16/2022

Expiration Date

12/31/2023

State

IL

Ever Disciplined

N

LastModifiedDate

03/28/2024