JILL CHRISTIAN MOORMAN Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057002219

License Status

INACTIVE

Business

First Name

JILL

Middle

CHRISTIAN

Last Name

MOORMAN

Business Name

JILL CHRISTIAN MOORMAN

Original Issue Date

09/13/2001

Effective Date

10/25/2005

Expiration Date

12/31/2007

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

10/10/2007