JEANETTE S NUGENT Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056000590

License Status

INACTIVE

Business

First Name

JEANETTE S

Last Name

NUGENT

Business Name

JEANETTE S NUGENT

Original Issue Date

06/19/1984

Effective Date

10/31/2001

Expiration Date

12/31/2001

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/11/2005