JESSE FOREST LANGILLE - Occupational Therapist License in Illinois | # 056008865

JESSE FOREST LANGILLE

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056008865

License Status

NOT RENEWED

Business

N

First Name

JESSE

Middle

FOREST

Last Name

LANGILLE

Business Name

JESSE FOREST LANGILLE

Original Issue Date

10/26/2009

Effective Date

12/24/2019

Expiration Date

01/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

05/18/2022