LESLIE DANA POWELL - Occupational Therapist License in Illinois | # 057001799

LESLIE DANA POWELL

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001799

License Status

NOT RENEWED

Business

N

First Name

LESLIE

Middle

DANA

Last Name

POWELL

Business Name

LESLIE DANA POWELL

Original Issue Date

11/09/1998

Effective Date

01/27/2004

Expiration Date

12/31/2003

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005