GRACE KATHERINE MAZZOCCO - Occupational Therapist License in Illinois | # 057006052

GRACE KATHERINE MAZZOCCO

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057006052

License Status

NOT RENEWED

Business

N

First Name

GRACE

Middle

KATHERINE

Last Name

MAZZOCCO

Business Name

GRACE KATHERINE MAZZOCCO

Original Issue Date

10/07/2023

Effective Date

10/07/2023

Expiration Date

12/31/2025

State

IL

Ever Disciplined

N

LastModifiedDate

04/01/2026