NANCY L BACON Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056001984

License Status

INACTIVE

Business

First Name

NANCY L

Last Name

BACON

Business Name

NANCY L BACON

Original Issue Date

08/24/1988

Expiration Date

12/31/1989

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Ever Disciplined

LastModifiedDate

07/28/2005