JENNIFER ANN MIDDENDORF Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057002435

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

ANN

Last Name

MIDDENDORF

Business Name

JENNIFER ANN MIDDENDORF

Original Issue Date

07/14/2003

Effective Date

10/25/2005

Expiration Date

12/31/2007

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

03/31/2008