MALLORY J MACEYAK Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056009995

License Status

NOT RENEWED

Business

First Name

MALLORY

Middle

Last Name

MACEYAK

Business Name

MALLORY J MACEYAK

Original Issue Date

12/24/2012

Effective Date

11/12/2013

Expiration Date

12/31/2015

City

WILMINGTON

State

Zip

60481

County

WILL

Ever Disciplined

LastModifiedDate

02/08/2016