ANDREA J MOCK Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056003952

License Status

NOT RENEWED

Business

First Name

ANDREA J

Last Name

MOCK

Business Name

ANDREA J MOCK

Original Issue Date

03/07/1996

Expiration Date

12/31/1999

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

07/28/2005