MARILOU OPORTO LEYSON-MASSEL - Occupational Therapist License in Illinois | # 056006607

MARILOU OPORTO LEYSON-MASSEL

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056006607

License Status

NOT RENEWED

Business

N

First Name

MARILOU

Middle

OPORTO

Last Name

LEYSON-MASSEL

Business Name

MARILOU OPORTO LEYSON-MASSEL

Original Issue Date

07/24/2002

Effective Date

10/04/2019

Expiration Date

01/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

05/18/2022