REGINA MARIE WISNIEWSKI - Occupational Therapist License in Illinois | # 057001091

REGINA MARIE WISNIEWSKI

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001091

License Status

INACTIVE

Business

N

First Name

REGINA MARIE

Last Name

WISNIEWSKI

Business Name

REGINA MARIE WISNIEWSKI

Original Issue Date

03/10/1995

Effective Date

02/05/2004

Expiration Date

12/31/2003

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005