JANE LOREL GAULT - Occupational Therapist License in Illinois | # 057001095

JANE LOREL GAULT

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001095

License Status

NOT RENEWED

Business

N

First Name

JANE LOREL

Last Name

GAULT

Business Name

JANE LOREL GAULT

Original Issue Date

03/10/1995

Effective Date

02/27/2002

Expiration Date

12/31/2001

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005