SUSAN M DERKACY Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057000142

License Status

INACTIVE

Business

First Name

SUSAN M

Last Name

DERKACY

Business Name

SUSAN M DERKACY

Original Issue Date

08/08/1984

Expiration Date

12/31/1987

City

DOLTON

State

Zip

60419

County

COOK

Ever Disciplined

LastModifiedDate

07/28/2005