JANE MARIE ROTH - Occupational Therapist License in Illinois | # 057001690

JANE MARIE ROTH

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001690

License Status

INACTIVE

Business

N

First Name

JANE MARIE

Last Name

ROTH

Business Name

JANE MARIE ROTH

Original Issue Date

05/18/1998

Effective Date

10/25/2013

Expiration Date

12/31/2015

State

IL

Ever Disciplined

N

LastModifiedDate

10/15/2015