MARY BETH HEADRICK - Occupational Therapist License in Illinois | # 057001006

MARY BETH HEADRICK

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001006

License Status

NOT RENEWED

Business

N

First Name

MARY

Middle

BETH

Last Name

HEADRICK

Business Name

MARY BETH HEADRICK

Original Issue Date

03/18/1994

Effective Date

01/06/2004

Expiration Date

12/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

02/16/2006