JILL MARIE BASIL Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056006894

License Status

NOT RENEWED

Business

First Name

JILL

Middle

MARIE

Last Name

BASIL

Business Name

JILL MARIE BASIL

Original Issue Date

06/03/2003

Effective Date

01/27/2004

Expiration Date

12/31/2003

City

SCHERERVILLE

State

Zip

46375

County

INDIANA

Ever Disciplined

LastModifiedDate

09/11/2005