DIANE J PACE Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001008

License Status

NOT RENEWED

Business

First Name

DIANE J

Last Name

PACE

Business Name

DIANE J PACE

Original Issue Date

03/24/1994

Effective Date

10/15/2013

Expiration Date

12/31/2015

City

ELGIN

State

Zip

60120

County

KANE

Ever Disciplined

LastModifiedDate

02/08/2016