JACKIE SKURNICKI Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001246

License Status

NOT RENEWED

Business

First Name

JACKIE

Last Name

SKURNICKI

Business Name

JACKIE SKURNICKI

Original Issue Date

03/07/1996

Expiration Date

12/31/1999

City

ORLAND PARK

State

Zip

60462

County

COOK

Ever Disciplined

LastModifiedDate

07/28/2005