MADHAVI SAMALA Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056007804

License Status

NOT RENEWED

Business

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

City

NAPERVILLE

State

Zip

60564

County

WILL

Ever Disciplined

LastModifiedDate

02/19/2014