MARY L NIGHTINGALE Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057000678

License Status

NOT RENEWED

Business

First Name

MARY L

Last Name

NIGHTINGALE

Business Name

MARY L NIGHTINGALE

Original Issue Date

07/19/1990

Effective Date

01/27/2004

Expiration Date

12/31/2003

City

CHATHAM

State

Zip

62629

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/11/2005