BRENT P ONG - Occupational Therapist License in Illinois | # 057001677

BRENT P ONG

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001677

License Status

NOT RENEWED

Business

N

First Name

BRENT

Middle

P

Last Name

ONG

Business Name

BRENT P ONG

Original Issue Date

05/18/1998

Effective Date

01/27/2004

Expiration Date

12/31/2003

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005