DOMINICK J BLASI Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001144

License Status

INACTIVE

Business

First Name

DOMINICK J

Last Name

BLASI

Business Name

DOMINICK J BLASI

Original Issue Date

05/31/1995

Effective Date

01/23/2004

Expiration Date

12/31/2003

City

CHICAGO

State

Zip

60630

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005