DIANE M FAYARD - Occupational Therapist License in Illinois | # 057001232

DIANE M FAYARD

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001232

License Status

NOT RENEWED

Business

N

First Name

DIANE M

Last Name

FAYARD

Business Name

DIANE M FAYARD

Original Issue Date

03/06/1996

Expiration Date

12/31/1999

State

IL

Ever Disciplined

N

LastModifiedDate

07/28/2005