DONNA MARIE BALLAK Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056001150

License Status

NOT RENEWED

Business

First Name

DONNA MARIE

Last Name

BALLAK

Business Name

DONNA MARIE BALLAK

Original Issue Date

09/14/1984

Effective Date

12/08/2021

Expiration Date

12/31/2023

City

CHANNAHON

State

Zip

60410

County

WILL

Ever Disciplined

LastModifiedDate

03/28/2024