JACOB J CICHY Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056005050

License Status

NOT RENEWED

Business

First Name

JACOB

Middle

Last Name

CICHY

Business Name

JACOB J CICHY

Original Issue Date

11/10/1998

Effective Date

10/08/2013

Expiration Date

12/31/2015

City

CRYSTAL LAKE

State

Zip

60012

County

MCHENRY

Ever Disciplined

LastModifiedDate

02/08/2016