JENNIFER J SQUIRE Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056004805

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

Last Name

SQUIRE

Business Name

JENNIFER J SQUIRE

Original Issue Date

05/05/1998

Effective Date

12/16/2013

Expiration Date

12/31/2015

City

GREEN VALLEY

State

Zip

61534

County

TAZEWELL

Ever Disciplined

LastModifiedDate

02/08/2016