JACQUELYN M PADILLA Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001259

License Status

INACTIVE

Business

First Name

JACQUELYN

Middle

Last Name

PADILLA

Business Name

JACQUELYN M PADILLA

Original Issue Date

03/07/1996

Effective Date

10/11/2011

Expiration Date

12/31/2013

City

GLENWOOD

State

Zip

60425

County

COOK

Ever Disciplined

LastModifiedDate

10/04/2013