JAMIE L TOMLANOVICH Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057004265

License Status

NOT RENEWED

Business

First Name

JAMIE

Middle

Last Name

TOMLANOVICH

Business Name

JAMIE L TOMLANOVICH

Original Issue Date

04/30/2015

Effective Date

10/06/2017

Expiration Date

12/31/2019

City

WOOD RIVER

State

Zip

62095

County

MADISON

Ever Disciplined

LastModifiedDate

03/05/2020