JENNIFER SUE GOTTLOB Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001740

License Status

INACTIVE

Business

First Name

JENNIFER

Middle

SUE

Last Name

GOTTLOB

Business Name

JENNIFER SUE GOTTLOB

Original Issue Date

08/31/1998

Effective Date

12/19/2019

Expiration Date

12/31/2021

City

GODFREY

State

Zip

62035

County

MADISON

Ever Disciplined

LastModifiedDate

12/22/2021