JAYNE L DEDERICHS Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056000682

License Status

INACTIVE

Business

First Name

JAYNE L

Last Name

DEDERICHS

Business Name

JAYNE L DEDERICHS

Original Issue Date

07/17/1984

Effective Date

10/06/2017

Expiration Date

12/31/2019

City

PALOS PARK

State

Zip

60464

County

COOK

Ever Disciplined

LastModifiedDate

03/05/2020