JAMIE LYNN GORDON RUSSELL Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056001670

License Status

NOT RENEWED

Business

First Name

JAMIE LYNN

Last Name

GORDON RUSSELL

Business Name

JAMIE LYNN GORDON RUSSELL

Original Issue Date

01/02/1987

Effective Date

02/27/2002

Expiration Date

12/31/2001

City

OTTAWA

State

Zip

61350

County

LA SALLE

Ever Disciplined

LastModifiedDate

09/11/2005