DOMINICK J BLASI - Occupational Therapist License in Illinois | # 057001144

DOMINICK J BLASI

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001144

License Status

INACTIVE

Business

N

First Name

DOMINICK J

Last Name

BLASI

Business Name

DOMINICK J BLASI

Original Issue Date

05/31/1995

Effective Date

01/23/2004

Expiration Date

12/31/2003

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005