FAYE R JACOBS - Occupational Therapist License in Illinois | # 056003542

FAYE R JACOBS

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056003542

License Status

NOT RENEWED

Business

N

First Name

FAYE R

Last Name

JACOBS

Business Name

FAYE R JACOBS

Original Issue Date

10/12/1994

Effective Date

03/09/2004

Expiration Date

12/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

02/16/2006