DIANE R MCCALLUM Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056000364

License Status

INACTIVE

Business

First Name

DIANE R

Last Name

MCCALLUM

Business Name

DIANE R MCCALLUM

Original Issue Date

06/11/1984

Expiration Date

12/31/1997

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Ever Disciplined

LastModifiedDate

07/28/2005