HEATHER M MILLBURG - Occupational Therapist License in Illinois | # 057002409

HEATHER M MILLBURG

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057002409

License Status

INACTIVE

Business

N

First Name

HEATHER

Middle

M

Last Name

MILLBURG

Business Name

HEATHER M MILLBURG

Original Issue Date

05/02/2003

Effective Date

11/19/2003

Expiration Date

12/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/25/2005