SUSAN D JACQUES Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056004167

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

Last Name

JACQUES

Business Name

SUSAN D JACQUES

Original Issue Date

09/11/1996

Effective Date

01/27/2004

Expiration Date

12/31/2003

City

SOUTH BARRINGTON

State

Zip

60010

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005