JENNIFER RENE LANE Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057002108

License Status

ACTIVE

Business

First Name

JENNIFER

Middle

RENE

Last Name

LANE

Business Name

JENNIFER RENE LANE

Original Issue Date

11/01/2000

Effective Date

12/28/2025

Expiration Date

12/31/2027

City

ROSICLARE

State

Zip

62982

County

HARDIN

Ever Disciplined

LastModifiedDate

12/28/2025