ELLEN MARIE MARQUA Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056006279

License Status

INACTIVE

Business

First Name

ELLEN

Middle

MARIE

Last Name

MARQUA

Business Name

ELLEN MARIE MARQUA

Original Issue Date

09/26/2001

Effective Date

10/04/2013

Expiration Date

12/31/2015

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/15/2015