REGINA G STOVALL Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057000023

License Status

INACTIVE

Business

First Name

REGINA G

Last Name

STOVALL

Business Name

REGINA G STOVALL

Original Issue Date

05/16/1984

Expiration Date

12/31/1989

City

CALUMET CITY

State

Zip

60409

County

COOK

Ever Disciplined

LastModifiedDate

07/28/2005