JENNIFER A LIST Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056003205

License Status

ACTIVE

Business

First Name

JENNIFER A

Last Name

LIST

Business Name

JENNIFER A LIST

Original Issue Date

09/09/1993

Effective Date

12/26/2025

Expiration Date

12/31/2027

City

BELVIDERE

State

Zip

61008

County

BOONE

Ever Disciplined

LastModifiedDate

12/26/2025