JAMIE A WIENEKE Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057002978

License Status

NOT RENEWED

Business

First Name

JAMIE

Middle

Last Name

WIENEKE

Business Name

JAMIE A WIENEKE

Original Issue Date

07/09/2008

Effective Date

12/02/2009

Expiration Date

12/31/2011

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

02/08/2012