JENNIFER A PETERSEN Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056010596

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

Last Name

PETERSEN

Business Name

JENNIFER A PETERSEN

Original Issue Date

05/29/2014

Effective Date

12/16/2019

Expiration Date

01/31/2022

City

ROCHELLE

State

Zip

61068

County

OGLE

Ever Disciplined

LastModifiedDate

05/18/2022