JENNIFER LYLE MOORE Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056000709

License Status

INACTIVE

Business

First Name

JENNIFER LYLE

Last Name

MOORE

Business Name

JENNIFER LYLE MOORE

Original Issue Date

07/17/1984

Effective Date

10/02/2009

Expiration Date

12/31/2011

City

CHICAGO

State

Zip

60643

County

COOK

Ever Disciplined

LastModifiedDate

10/05/2011