JAMIE A WIENEKE - Occupational Therapist License in Illinois | # 057002978

JAMIE A WIENEKE

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057002978

License Status

NOT RENEWED

Business

N

First Name

JAMIE

Middle

A

Last Name

WIENEKE

Business Name

JAMIE A WIENEKE

Original Issue Date

07/09/2008

Effective Date

12/02/2009

Expiration Date

12/31/2011

State

IL

Ever Disciplined

N

LastModifiedDate

02/08/2012