CAROL A FISH - Occupational Therapist License in Illinois | # 057000764

CAROL A FISH

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057000764

License Status

NOT RENEWED

Business

N

First Name

CAROL A

Last Name

FISH

Business Name

CAROL A FISH

Original Issue Date

07/11/1991

Effective Date

11/04/2009

Expiration Date

12/31/2011

State

IL

Ever Disciplined

N

LastModifiedDate

02/08/2012