ANN MARIE WILDA Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057000645

License Status

INACTIVE

Business

First Name

ANN MARIE

Last Name

WILDA

Business Name

ANN MARIE WILDA

Original Issue Date

08/04/1990

Effective Date

11/27/2001

Expiration Date

12/31/2001

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/11/2005

Case Number

1990001518

Action

Fine

Discipline Start Date

08/03/1990