JACQUELYN JOHNSON Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056001008

License Status

INACTIVE

Business

First Name

JACQUELYN

Last Name

JOHNSON

Business Name

JACQUELYN JOHNSON

Original Issue Date

08/08/1984

Effective Date

10/06/2017

Expiration Date

12/31/2019

City

PRINCETON

State

Zip

61356

County

BUREAU

Ever Disciplined

LastModifiedDate

10/02/2019