LAUREN NICHOLE JERVIS - Occupational Therapist License in Illinois | # 056011437

LAUREN NICHOLE JERVIS

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056011437

License Status

NOT RENEWED

Business

N

First Name

LAUREN

Middle

NICHOLE

Last Name

JERVIS

Business Name

LAUREN NICHOLE JERVIS

Original Issue Date

03/08/2016

Effective Date

10/06/2017

Expiration Date

12/31/2019

State

IL

Ever Disciplined

N

LastModifiedDate

03/05/2020