ERIC RYAN MOSS - Occupational Therapist License in Illinois | # 056011524

ERIC RYAN MOSS

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056011524

License Status

NOT RENEWED

Business

N

First Name

ERIC

Middle

RYAN

Last Name

MOSS

Business Name

ERIC RYAN MOSS

Original Issue Date

05/10/2016

Effective Date

05/10/2016

Expiration Date

12/31/2017

State

IL

Ever Disciplined

N

LastModifiedDate

04/10/2018