HOLLY LYNN BLY Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056004378

License Status

NOT RENEWED

Business

First Name

HOLLY

Last Name

LYNN BLY

Business Name

HOLLY LYNN BLY

Original Issue Date

04/30/1997

Expiration Date

12/31/1999

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

07/28/2005