BONNIE R GUDAT Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057000624

License Status

INACTIVE

Business

First Name

BONNIE R

Last Name

GUDAT

Business Name

BONNIE R GUDAT

Original Issue Date

09/07/1989

Expiration Date

12/31/1995

City

EDELSTEIN

State

Zip

61526

County

PEORIA

Ever Disciplined

LastModifiedDate

07/28/2005