JILL L HENSON Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057002699

License Status

INACTIVE

Business

First Name

JILL

Middle

Last Name

HENSON

Business Name

JILL L HENSON

Original Issue Date

05/03/2006

Effective Date

01/03/2012

Expiration Date

12/31/2013

City

SPRINGFIELD

State

Zip

62712

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/04/2013