SUSAN D JACQUES - Occupational Therapist License in Illinois | # 056004167

SUSAN D JACQUES

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056004167

License Status

NOT RENEWED

Business

N

First Name

SUSAN

Middle

D

Last Name

JACQUES

Business Name

SUSAN D JACQUES

Original Issue Date

09/11/1996

Effective Date

01/27/2004

Expiration Date

12/31/2003

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005