JENNIFER LYNN THEIS - Occupational Therapist License in Illinois | # 056004401

JENNIFER LYNN THEIS

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056004401

License Status

NOT RENEWED

Business

N

First Name

JENNIFER LYNN

Last Name

THEIS

Business Name

JENNIFER LYNN THEIS

Original Issue Date

05/07/1997

Effective Date

01/27/2004

Expiration Date

12/31/2003

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005