DONNA GAIL CROSE - Occupational Therapist License in Illinois | # 057004349

DONNA GAIL CROSE

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057004349

License Status

NOT RENEWED

Business

N

First Name

DONNA

Middle

GAIL

Last Name

CROSE

Business Name

DONNA GAIL CROSE

Original Issue Date

08/13/2015

Effective Date

12/19/2019

Expiration Date

01/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

05/18/2022