MARK NOEL VILLARAMA SAN JOSE Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056011154

License Status

NOT RENEWED

Business

First Name

MARK NOEL

Middle

VILLARAMA

Last Name

SAN JOSE

Business Name

MARK NOEL VILLARAMA SAN JOSE

Original Issue Date

09/01/2015

Effective Date

12/07/2017

Expiration Date

12/31/2019

City

MT PROSPECT

State

Zip

60056

County

COOK

Ever Disciplined

LastModifiedDate

03/05/2020