JENNIFER LYNN THEIS Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056004401

License Status

NOT RENEWED

Business

First Name

JENNIFER LYNN

Last Name

THEIS

Business Name

JENNIFER LYNN THEIS

Original Issue Date

05/07/1997

Effective Date

01/27/2004

Expiration Date

12/31/2003

City

SKOKIE

State

Zip

60076

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005