JILL MARIE SEVIC Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001664

License Status

NOT RENEWED

Business

First Name

JILL MARIE

Last Name

SEVIC

Business Name

JILL MARIE SEVIC

Original Issue Date

05/14/1998

Effective Date

01/27/2004

Expiration Date

12/31/2003

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

09/11/2005