JONATHAN P HORAK Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001312

License Status

INACTIVE

Business

First Name

JONATHAN P

Last Name

HORAK

Business Name

JONATHAN P HORAK

Original Issue Date

07/18/1996

Expiration Date

12/31/1999

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

07/28/2005