MARY C WISE Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056002578

License Status

NOT RENEWED

Business

First Name

MARY C

Last Name

WISE

Business Name

MARY C WISE

Original Issue Date

03/09/1991

Expiration Date

12/31/1997

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

07/28/2005