JENNIFER JO CARLSON Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001768

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

Last Name

CARLSON

Business Name

JENNIFER JO CARLSON

Original Issue Date

11/09/1998

Effective Date

01/14/2004

Expiration Date

12/31/2005

City

ST JOSEPH

State

Zip

61873

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

02/16/2006