JACLYN ANNE STEPHENS Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056009398

License Status

NOT RENEWED

Business

First Name

JACLYN

Middle

ANNE

Last Name

STEPHENS

Business Name

JACLYN ANNE STEPHENS

Original Issue Date

06/15/2011

Effective Date

06/15/2011

Expiration Date

12/31/2011

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

02/08/2012