REGINA MARIE WISNIEWSKI Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001091

License Status

INACTIVE

Business

First Name

REGINA MARIE

Last Name

WISNIEWSKI

Business Name

REGINA MARIE WISNIEWSKI

Original Issue Date

03/10/1995

Effective Date

02/05/2004

Expiration Date

12/31/2003

City

DOWNERS GROVE

State

Zip

60516

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005