JACQUELINE RENEE ALLEN Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001569

License Status

NOT RENEWED

Business

First Name

JACQUELINE RENEE

Last Name

ALLEN

Business Name

JACQUELINE RENEE ALLEN

Original Issue Date

11/12/1997

Effective Date

01/27/2004

Expiration Date

12/31/2005

City

SIDNEY

State

Zip

61877

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

02/16/2006