JENNIFER D GAULKE Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056008472

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

Last Name

GAULKE

Business Name

JENNIFER D GAULKE

Original Issue Date

09/24/2008

Effective Date

11/07/2011

Expiration Date

12/31/2013

City

SPRINGFIELD

State

Zip

62712

County

SANGAMON

Ever Disciplined

LastModifiedDate

02/19/2014