MADHAVI SAMALA - Occupational Therapist License in Illinois | # 056007804

MADHAVI SAMALA

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056007804

License Status

NOT RENEWED

Business

N

First Name

MADHAVI

Last Name

SAMALA

Business Name

MADHAVI SAMALA

Original Issue Date

06/26/2006

Effective Date

12/22/2011

Expiration Date

12/31/2013

State

IL

Ever Disciplined

N

LastModifiedDate

02/19/2014