CAMILLE RAE PANGANIBAN - Occupational Therapist License in Illinois | # 057006045

CAMILLE RAE PANGANIBAN

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057006045

License Status

NOT RENEWED

Business

N

First Name

CAMILLE

Middle

RAE

Last Name

PANGANIBAN

Business Name

CAMILLE RAE PANGANIBAN

Original Issue Date

09/03/2023

Effective Date

09/03/2023

Expiration Date

12/31/2023

State

IL

Ever Disciplined

N

LastModifiedDate

03/28/2024