JENNA DEANNE MCCOY-POWLEN - Occupational Therapist License in Illinois | # 056005852

JENNA DEANNE MCCOY-POWLEN

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056005852

License Status

INACTIVE

Business

N

First Name

JENNA

Middle

DEANNE

Last Name

MCCOY-POWLEN

Business Name

JENNA DEANNE MCCOY-POWLEN

Original Issue Date

07/19/2000

Effective Date

12/31/2003

Expiration Date

12/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/25/2005