GARY A PONCINIE Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056008401

License Status

ACTIVE

Business

First Name

GARY

Middle

Last Name

PONCINIE

Business Name

GARY A PONCINIE

Original Issue Date

08/04/2008

Effective Date

12/08/2025

Expiration Date

12/31/2027

City

BLUE ISLAND

State

Zip

60406

County

COOK

Ever Disciplined

LastModifiedDate

12/08/2025