JENNIFER LYNN MATTHIESEN Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001260

License Status

INACTIVE

Business

First Name

JENNIFER LYNN

Last Name

MATTHIESEN

Business Name

JENNIFER LYNN MATTHIESEN

Original Issue Date

03/07/1996

Effective Date

10/26/2009

Expiration Date

12/31/2011

City

PARK FOREST

State

Zip

60466

County

COOK

Ever Disciplined

LastModifiedDate

10/05/2011