MATT ALAN EISENHAUER - Occupational Therapist License in Illinois | # 057001769

MATT ALAN EISENHAUER

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001769

License Status

NOT RENEWED

Business

N

First Name

MATT

Middle

ALAN

Last Name

EISENHAUER

Business Name

MATT ALAN EISENHAUER

Original Issue Date

11/09/1998

Effective Date

02/27/2002

Expiration Date

12/31/2001

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005