LAUREN NICHOLE JERVIS Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056011437

License Status

NOT RENEWED

Business

First Name

LAUREN

Middle

NICHOLE

Last Name

JERVIS

Business Name

LAUREN NICHOLE JERVIS

Original Issue Date

03/08/2016

Effective Date

10/06/2017

Expiration Date

12/31/2019

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

03/05/2020