JENNA DEANNE MCCOY-POWLEN Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056005852

License Status

INACTIVE

Business

First Name

JENNA

Middle

DEANNE

Last Name

MCCOY-POWLEN

Business Name

JENNA DEANNE MCCOY-POWLEN

Original Issue Date

07/19/2000

Effective Date

12/31/2003

Expiration Date

12/31/2005

City

CHICAGO

State

Zip

60657

Ever Disciplined

LastModifiedDate

10/25/2005