JANE A PEACOCK Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056003271

License Status

INACTIVE

Business

First Name

JANE A

Last Name

PEACOCK

Business Name

JANE A PEACOCK

Original Issue Date

11/04/1993

Effective Date

03/02/2004

Expiration Date

12/31/2005

City

RIVERVIEW

State

Zip

33569

County

MINNESOTA

Ever Disciplined

LastModifiedDate

10/25/2005