MARY J PUCCILLO - Occupational Therapist License in Illinois | # 057003195

MARY J PUCCILLO

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057003195

License Status

NOT RENEWED

Business

N

First Name

MARY

Middle

J

Last Name

PUCCILLO

Business Name

MARY J PUCCILLO

Original Issue Date

02/16/2010

Effective Date

02/16/2010

Expiration Date

12/31/2011

State

IL

Ever Disciplined

N

LastModifiedDate

02/08/2012