MARY O MICHUDA Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056000317

License Status

NOT RENEWED

Business

First Name

MARY O

Last Name

MICHUDA

Business Name

MARY O MICHUDA

Original Issue Date

06/11/1984

Expiration Date

12/31/1999

City

PROSPECT HTS

State

Zip

60070

County

COOK

Ever Disciplined

LastModifiedDate

07/28/2005