LEONCIO KING M GERONIMO Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001642

License Status

INACTIVE

Business

First Name

LEONCIO KING

Middle

Last Name

GERONIMO

Business Name

LEONCIO KING M GERONIMO

Original Issue Date

05/08/1998

Effective Date

10/06/2017

Expiration Date

12/31/2019

City

CREST HILL

State

Zip

60403

County

WILL

Ever Disciplined

LastModifiedDate

10/02/2019