JENNIFER LYNN GOLDBAUM Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056003389

License Status

NOT RENEWED

Business

First Name

JENNIFER

Last Name

LYNN GOLDBAUM

Business Name

JENNIFER LYNN GOLDBAUM

Original Issue Date

04/06/1994

Effective Date

01/27/2004

Expiration Date

12/31/2003

City

OAK PARK

State

Zip

60304

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005