MARY NORTH DOHERTY - Occupational Therapist License in Illinois | # 057001273

MARY NORTH DOHERTY

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001273

License Status

NOT RENEWED

Business

N

First Name

MARY

Middle

NORTH

Last Name

DOHERTY

Business Name

MARY NORTH DOHERTY

Original Issue Date

03/12/1996

Effective Date

01/27/2004

Expiration Date

12/31/2003

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005