JENNIFER LYNN GOLDBAUM - Occupational Therapist License in Illinois | # 056003389

JENNIFER LYNN GOLDBAUM

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056003389

License Status

NOT RENEWED

Business

N

First Name

JENNIFER

Last Name

LYNN GOLDBAUM

Business Name

JENNIFER LYNN GOLDBAUM

Original Issue Date

04/06/1994

Effective Date

01/27/2004

Expiration Date

12/31/2003

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005