JAN D WILSON Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056000652

License Status

INACTIVE

Business

First Name

JAN D

Last Name

WILSON

Business Name

JAN D WILSON

Original Issue Date

07/17/1984

Effective Date

12/06/2011

Expiration Date

12/31/2013

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

10/04/2013