ANGELA ELIZABETH MADDOX Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056007340

License Status

NOT RENEWED

Business

First Name

ANGELA

Middle

ELIZABETH

Last Name

MADDOX

Business Name

ANGELA ELIZABETH MADDOX

Original Issue Date

12/08/2004

Effective Date

01/07/2010

Expiration Date

12/31/2011

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

02/08/2012