DIANE S ENZ Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056000330

License Status

INACTIVE

Business

First Name

DIANE S

Last Name

ENZ

Business Name

DIANE S ENZ

Original Issue Date

06/11/1984

Effective Date

01/23/2004

Expiration Date

12/31/2003

City

GURNEE

State

Zip

60031

County

LAKE

Ever Disciplined

LastModifiedDate

09/11/2005