SALLY JO BLALOCK Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057000301

License Status

INACTIVE

Business

First Name

SALLY JO

Last Name

BLALOCK

Business Name

SALLY JO BLALOCK

Original Issue Date

04/08/1985

Expiration Date

12/31/1999

City

OAK FOREST

State

Zip

60452

County

COOK

Ever Disciplined

LastModifiedDate

07/28/2005