Occupational Therapist
OCCUPATIONAL THERAPIST
056001128
NOT RENEWED
N
TAMORA E
ELTING
TAMORA E ELTING
09/14/1984
12/31/1995
MOUNT VERNON
IL
62864
MARION
Y
07/28/2005
1989005732
Refuse To Renew
11/09/1989
01/12/1990