IVONA JOANNA GOLDMAN Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056005713

License Status

INACTIVE

Business

First Name

IVONA

Middle

JOANNA

Last Name

GOLDMAN

Business Name

IVONA JOANNA GOLDMAN

Original Issue Date

05/17/2000

Effective Date

01/06/2004

Expiration Date

12/31/2005

City

HINDALE

State

Zip

60521

County

DUPAGE

Ever Disciplined

LastModifiedDate

12/29/2005