CECELIA JANE DIETZEN Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056008482

License Status

NOT RENEWED

Business

First Name

CECELIA

Middle

JANE

Last Name

DIETZEN

Business Name

CECELIA JANE DIETZEN

Original Issue Date

10/02/2008

Effective Date

10/06/2017

Expiration Date

12/31/2019

City

LOMBARD

State

Zip

60148

County

DUPAGE

Ever Disciplined

LastModifiedDate

03/05/2020