DANIELA L MADA Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056005373

License Status

NOT RENEWED

Business

First Name

DANIELA

Middle

Last Name

MADA

Business Name

DANIELA L MADA

Original Issue Date

05/17/1999

Effective Date

02/27/2002

Expiration Date

12/31/2001

City

ROUND LAKE

State

Zip

60073

County

LAKE

Ever Disciplined

LastModifiedDate

09/11/2005