DIANE M FAYARD Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001232

License Status

NOT RENEWED

Business

First Name

DIANE M

Last Name

FAYARD

Business Name

DIANE M FAYARD

Original Issue Date

03/06/1996

Expiration Date

12/31/1999

City

CHICAGO

State

Zip

60634

County

COOK

Ever Disciplined

LastModifiedDate

07/28/2005