JONATHAN DAVID POTTER - Occupational Therapist License in Illinois | # 056005784

JONATHAN DAVID POTTER

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056005784

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

02/15/2008