MARY BETH HEADRICK Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001006

License Status

NOT RENEWED

Business

First Name

MARY

Middle

BETH

Last Name

HEADRICK

Business Name

MARY BETH HEADRICK

Original Issue Date

03/18/1994

Effective Date

01/06/2004

Expiration Date

12/31/2005

City

WINFIELD

State

Zip

60190

County

DUPAGE

Ever Disciplined

LastModifiedDate

02/16/2006