ANDREA J MOCK - Occupational Therapist License in Illinois | # 056003952

ANDREA J MOCK

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056003952

License Status

NOT RENEWED

Business

N

First Name

ANDREA J

Last Name

MOCK

Business Name

ANDREA J MOCK

Original Issue Date

03/07/1996

Expiration Date

12/31/1999

State

IL

Ever Disciplined

N

LastModifiedDate

07/28/2005