DIANE M MAGDZIAK Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057000104

License Status

NOT RENEWED

Business

First Name

DIANE M

Last Name

MAGDZIAK

Business Name

DIANE M MAGDZIAK

Original Issue Date

07/17/1984

Effective Date

12/16/2015

Expiration Date

12/31/2017

City

PARK FOREST

State

Zip

60466

County

COOK

Ever Disciplined

LastModifiedDate

04/10/2018