JENNIFER P THOMAS Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056007230

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

Last Name

THOMAS

Business Name

JENNIFER P THOMAS

Original Issue Date

07/02/2004

Effective Date

07/02/2004

Expiration Date

12/31/2005

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

02/16/2006