TRACI E WING - Occupational Therapist License in Illinois | # 056005442

TRACI E WING

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056005442

License Status

NOT RENEWED

Business

N

First Name

TRACI

Middle

E

Last Name

WING

Business Name

TRACI E WING

Original Issue Date

06/23/1999

Effective Date

02/27/2002

Expiration Date

12/31/2001

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005