JENNIFER LYN BLAKLEY Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057002308

License Status

ACTIVE

Business

First Name

JENNIFER

Middle

LYN

Last Name

BLAKLEY

Business Name

JENNIFER LYN BLAKLEY

Original Issue Date

05/03/2002

Effective Date

12/18/2025

Expiration Date

12/31/2027

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Ever Disciplined

LastModifiedDate

12/18/2025