MARY ANN JESSAH JUNTILLA RIVAS Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056010886

License Status

NOT RENEWED

Business

First Name

MARY ANN JESSAH

Middle

JUNTILLA

Last Name

RIVAS

Business Name

MARY ANN JESSAH JUNTILLA RIVAS

Original Issue Date

01/21/2015

Effective Date

11/12/2019

Expiration Date

01/31/2022

City

MATTOON

State

Zip

61938

County

COOK

Ever Disciplined

LastModifiedDate

05/18/2022