JENNIFER A PETERSEN Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057002477

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

Last Name

PETERSEN

Business Name

JENNIFER A PETERSEN

Original Issue Date

10/22/2003

Effective Date

11/25/2013

Expiration Date

12/31/2015

City

ROCHELLE

State

Zip

61068

County

OGLE

Ever Disciplined

LastModifiedDate

02/08/2016