JENNA LYNETTE CLATFELTER Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057002569

License Status

INACTIVE

Business

First Name

JENNA

Middle

LYNETTE

Last Name

CLATFELTER

Business Name

JENNA LYNETTE CLATFELTER

Original Issue Date

03/03/2005

Effective Date

12/30/2019

Expiration Date

01/31/2022

City

SHERMAN

State

Zip

62684

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/06/2022