MARY J PUCCILLO Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057003195

License Status

NOT RENEWED

Business

First Name

MARY

Middle

Last Name

PUCCILLO

Business Name

MARY J PUCCILLO

Original Issue Date

02/16/2010

Effective Date

02/16/2010

Expiration Date

12/31/2011

City

TINLEY PARK

State

Zip

60477

County

COOK

Ever Disciplined

LastModifiedDate

02/08/2012