RICO H MONTALES Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056008478

License Status

NOT RENEWED

Business

First Name

RICO

Middle

Last Name

MONTALES

Business Name

RICO H MONTALES

Original Issue Date

10/01/2008

Effective Date

10/19/2017

Expiration Date

12/31/2019

City

ROUND LAKE

State

Zip

60073

County

LAKE

Ever Disciplined

LastModifiedDate

03/05/2020