JEREMY R WHITEHALL Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056007653

License Status

NOT RENEWED

Business

First Name

JEREMY

Middle

Last Name

WHITEHALL

Business Name

JEREMY R WHITEHALL

Original Issue Date

01/12/2006

Effective Date

10/10/2007

Expiration Date

12/31/2009

City

PEORIA

State

Zip

61603

County

PEORIA

Ever Disciplined

LastModifiedDate

02/04/2010