JENNIFER MARIE LUCKENBAUGH - Occupational Therapist License in Pennsylvania | # 057002558

JENNIFER MARIE LUCKENBAUGH

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057002558

License Status

INACTIVE

Business

N

First Name

JENNIFER

Middle

MARIE

Last Name

LUCKENBAUGH

Business Name

JENNIFER MARIE LUCKENBAUGH

Original Issue Date

12/08/2004

Effective Date

10/10/2007

Expiration Date

12/31/2009

State

PA

Ever Disciplined

N

LastModifiedDate

10/02/2009