JESSICA MARIE MILLER Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056006924

License Status

NOT RENEWED

Business

First Name

JESSICA

Middle

MARIE

Last Name

MILLER

Business Name

JESSICA MARIE MILLER

Original Issue Date

08/04/2003

Effective Date

10/25/2005

Expiration Date

12/31/2007

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

02/15/2008