JONATHAN DAVID POTTER Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056005784

License Status

NOT RENEWED

Business

First Name

JONATHAN

Middle

DAVID

Last Name

POTTER

Business Name

JONATHAN DAVID POTTER

Original Issue Date

05/18/2000

Effective Date

10/25/2005

Expiration Date

12/31/2007

City

EVANSTON

State

Zip

60202

County

COOK

Ever Disciplined

LastModifiedDate

02/15/2008