JILLIAN REBEKAH PETERSON Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056006080

License Status

INACTIVE

Business

First Name

JILLIAN

Middle

REBEKAH

Last Name

PETERSON

Business Name

JILLIAN REBEKAH PETERSON

Original Issue Date

05/03/2001

Effective Date

08/10/2004

Expiration Date

12/31/2005

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

10/25/2005