TRICIA DOLORES BAUMGART - Occupational Therapist License in Illinois | # 057004536

TRICIA DOLORES BAUMGART

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057004536

License Status

NOT RENEWED

Business

N

First Name

TRICIA

Middle

DOLORES

Last Name

BAUMGART

Business Name

TRICIA DOLORES BAUMGART

Original Issue Date

05/19/2016

Effective Date

05/19/2016

Expiration Date

12/31/2017

State

IL

Ever Disciplined

N

LastModifiedDate

04/10/2018