CANDACE CLARK MALLORY Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057000163

License Status

NOT RENEWED

Business

First Name

CANDACE CLARK

Last Name

MALLORY

Business Name

CANDACE CLARK MALLORY

Original Issue Date

08/08/1984

Effective Date

12/09/2019

Expiration Date

01/31/2022

City

BARTLETT

State

Zip

60103

County

COOK

Ever Disciplined

LastModifiedDate

05/18/2022