BRYAN PUA DE ROSAS Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001641

License Status

NOT RENEWED

Business

First Name

BRYAN

Middle

PUA

Last Name

DE ROSAS

Business Name

BRYAN PUA DE ROSAS

Original Issue Date

05/08/1998

Effective Date

02/27/2002

Expiration Date

12/31/2001

City

CHICAGO

State

Zip

60659

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005