MARY E BETTLACH Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056004552

License Status

INACTIVE

Business

First Name

MARY E

Last Name

BETTLACH

Business Name

MARY E BETTLACH

Original Issue Date

09/23/1997

Effective Date

10/10/2017

Expiration Date

12/31/2019

City

DUNLAP

State

Zip

61525

County

PEORIA

Ever Disciplined

LastModifiedDate

10/02/2019