POLLY A WOODFALL - Occupational Therapist License in Illinois | # 057002130

POLLY A WOODFALL

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057002130

License Status

NOT RENEWED

Business

N

First Name

POLLY

Middle

A

Last Name

WOODFALL

Business Name

POLLY A WOODFALL

Original Issue Date

11/01/2000

Effective Date

11/09/2011

Expiration Date

12/31/2013

State

IL

Ever Disciplined

N

LastModifiedDate

02/19/2014