JEFFREY SHAWN UNDERWOOD - Occupational Therapist License in Illinois | # 056005959

JEFFREY SHAWN UNDERWOOD

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056005959

License Status

NOT RENEWED

Business

N

First Name

JEFFREY

Middle

SHAWN

Last Name

UNDERWOOD

Business Name

JEFFREY SHAWN UNDERWOOD

Original Issue Date

11/01/2000

Effective Date

01/27/2004

Expiration Date

12/31/2003

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005