JENNIFER A PETERSEN - Occupational Therapist License in Illinois | # 057002477

JENNIFER A PETERSEN

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057002477

License Status

NOT RENEWED

Business

N

First Name

JENNIFER

Middle

A

Last Name

PETERSEN

Business Name

JENNIFER A PETERSEN

Original Issue Date

10/22/2003

Effective Date

11/25/2013

Expiration Date

12/31/2015

State

IL

Ever Disciplined

N

LastModifiedDate

02/08/2016