PATRICIA L PALOMAR Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056002785

License Status

NOT RENEWED

Business

First Name

PATRICIA L

Last Name

PALOMAR

Business Name

PATRICIA L PALOMAR

Original Issue Date

02/18/1992

Effective Date

06/28/2004

Expiration Date

12/31/2005

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

02/16/2006