GAYLE J FOTHERGILL - Occupational Therapist License in Illinois | # 057000672

GAYLE J FOTHERGILL

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057000672

License Status

NOT RENEWED

Business

N

First Name

GAYLE J

Last Name

FOTHERGILL

Business Name

GAYLE J FOTHERGILL

Original Issue Date

04/11/1990

Expiration Date

12/31/1991

State

IL

Ever Disciplined

N

LastModifiedDate

07/28/2005