JENNIFER ANNE KELLY MUNDWILER Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056008409

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

ANNE KELLY

Last Name

MUNDWILER

Business Name

JENNIFER ANNE KELLY MUNDWILER

Original Issue Date

08/08/2008

Effective Date

12/02/2013

Expiration Date

12/31/2015

City

CHERRY VALLEY

State

Zip

61016

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

02/08/2016