KELLY LEE PACKWOOD - Occupational Therapist License in Illinois | # 057000976

KELLY LEE PACKWOOD

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057000976

License Status

NOT RENEWED

Business

N

First Name

KELLY LEE

Last Name

PACKWOOD

Business Name

KELLY LEE PACKWOOD

Original Issue Date

03/17/1994

Effective Date

12/09/2013

Expiration Date

12/31/2015

State

IL

Ever Disciplined

N

LastModifiedDate

02/08/2016