MARK ANTHONY PEDZIWIATR Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056012898

License Status

ACTIVE

Business

First Name

MARK

Middle

ANTHONY

Last Name

PEDZIWIATR

Business Name

MARK ANTHONY PEDZIWIATR

Original Issue Date

02/08/2019

Effective Date

10/05/2025

Expiration Date

12/31/2027

City

LA GRANGE PARK

State

Zip

60526

County

COOK

Ever Disciplined

LastModifiedDate

10/05/2025