JENNIFER LYNN MATTHIESEN - Occupational Therapist License in Illinois | # 057001260

JENNIFER LYNN MATTHIESEN

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001260

License Status

INACTIVE

Business

N

First Name

JENNIFER LYNN

Last Name

MATTHIESEN

Business Name

JENNIFER LYNN MATTHIESEN

Original Issue Date

03/07/1996

Effective Date

10/26/2009

Expiration Date

12/31/2011

State

IL

Ever Disciplined

N

LastModifiedDate

10/05/2011