CAROLYN M DZIALAKIEWICZ Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057000268

License Status

NOT RENEWED

Business

First Name

CAROLYN M

Last Name

DZIALAKIEWICZ

Business Name

CAROLYN M DZIALAKIEWICZ

Original Issue Date

09/14/1984

Expiration Date

12/31/1993

City

CHICAGO

State

Zip

60633

County

COOK

Ever Disciplined

LastModifiedDate

07/28/2005