JESSICA L WALCZAK Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056006208

License Status

NOT RENEWED

Business

First Name

JESSICA

Middle

Last Name

WALCZAK

Business Name

JESSICA L WALCZAK

Original Issue Date

06/19/2001

Effective Date

01/27/2004

Expiration Date

12/31/2003

City

ANTIOCH

State

Zip

60002

County

LAKE

Ever Disciplined

LastModifiedDate

09/11/2005