KATHLEEN M MITAL - Occupational Therapist License in Illinois | # 056000426

KATHLEEN M MITAL

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056000426

License Status

INACTIVE

Business

N

First Name

KATHLEEN M

Last Name

MITAL

Business Name

KATHLEEN M MITAL

Original Issue Date

06/11/1984

Effective Date

12/29/2003

Expiration Date

12/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/25/2005