JANE MARIE ROTH Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001690

License Status

INACTIVE

Business

First Name

JANE MARIE

Last Name

ROTH

Business Name

JANE MARIE ROTH

Original Issue Date

05/18/1998

Effective Date

10/25/2013

Expiration Date

12/31/2015

City

HUNTLEY

State

Zip

60142

County

MCHENRY

Ever Disciplined

LastModifiedDate

10/15/2015