MARSHA ANN LUCZAK Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056003629

License Status

NOT RENEWED

Business

First Name

MARSHA ANN

Last Name

LUCZAK

Business Name

MARSHA ANN LUCZAK

Original Issue Date

03/13/1995

Effective Date

12/03/2013

Expiration Date

12/31/2015

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Ever Disciplined

LastModifiedDate

02/08/2016