ANGELA MICHELLE DIENER - Occupational Therapist License in Illinois | # 057001205

ANGELA MICHELLE DIENER

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001205

License Status

INACTIVE

Business

N

First Name

ANGELA MICHELLE

Last Name

DIENER

Business Name

ANGELA MICHELLE DIENER

Original Issue Date

10/11/1995

Effective Date

12/30/2003

Expiration Date

12/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/25/2005