CIELO AVILA DELA CRUZ Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056009595

License Status

NOT RENEWED

Business

First Name

CIELO

Middle

AVILA

Last Name

DELA CRUZ

Business Name

CIELO AVILA DELA CRUZ

Original Issue Date

12/20/2011

Effective Date

10/04/2013

Expiration Date

12/31/2015

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

02/08/2016