MARY LOUISE SHATTUCK - Occupational Therapist License in Illinois | # 057002043

MARY LOUISE SHATTUCK

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057002043

License Status

NOT RENEWED

Business

N

First Name

MARY

Middle

LOUISE

Last Name

SHATTUCK

Business Name

MARY LOUISE SHATTUCK

Original Issue Date

05/18/2000

Effective Date

12/28/2021

Expiration Date

12/31/2023

State

IL

Ever Disciplined

N

LastModifiedDate

03/28/2024