DONNA L CICINELLI Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056004152

License Status

NOT RENEWED

Business

First Name

DONNA L

Last Name

CICINELLI

Business Name

DONNA L CICINELLI

Original Issue Date

09/11/1996

Effective Date

01/27/2004

Expiration Date

12/31/2003

City

CHICAGO

State

Zip

60634

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005