JILL K SMITH Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057000111

License Status

NOT RENEWED

Business

First Name

JILL K

Last Name

SMITH

Business Name

JILL K SMITH

Original Issue Date

08/08/1984

Expiration Date

12/31/1995

City

ROCKFORD

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/28/2005