JEAN C DIETZ Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056002044

License Status

NOT RENEWED

Business

First Name

JEAN C

Last Name

DIETZ

Business Name

JEAN C DIETZ

Original Issue Date

09/10/1988

Expiration Date

12/31/1991

City

NAPERVILLE

State

Zip

60565

County

WILL

Ever Disciplined

LastModifiedDate

07/28/2005