CAROL ANNE PETTAY Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056004605

License Status

INACTIVE

Business

First Name

CAROL ANNE

Last Name

PETTAY

Business Name

CAROL ANNE PETTAY

Original Issue Date

11/12/1997

Effective Date

12/19/2013

Expiration Date

12/31/2015

City

MOKENA

State

Zip

60448

County

WILL

Ever Disciplined

LastModifiedDate

10/15/2015