MARY C KELLEY Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001002

License Status

INACTIVE

Business

First Name

MARY

Middle

Last Name

KELLEY

Business Name

MARY C KELLEY

Original Issue Date

03/18/1994

Effective Date

11/06/2001

Expiration Date

12/31/2001

City

CALUMET CITY

State

Zip

60409

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005