LAURIE J PIETKIEWICZ Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057000062

License Status

NOT RENEWED

Business

First Name

LAURIE J

Last Name

PIETKIEWICZ

Business Name

LAURIE J PIETKIEWICZ

Original Issue Date

06/22/1984

Expiration Date

12/31/1997

City

TINLEY PARK

State

Zip

60477

County

COOK

Ever Disciplined

LastModifiedDate

07/28/2005