JILL ANN FORD Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001858

License Status

NOT RENEWED

Business

First Name

JILL

Middle

ANN

Last Name

FORD

Business Name

JILL ANN FORD

Original Issue Date

05/11/1999

Effective Date

11/25/2013

Expiration Date

12/31/2015

City

MOKENA

State

Zip

60448

County

WILL

Ever Disciplined

LastModifiedDate

02/08/2016