JANET L TILLEMA Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001096

License Status

NOT RENEWED

Business

First Name

JANET L

Last Name

TILLEMA

Business Name

JANET L TILLEMA

Original Issue Date

03/10/1995

Effective Date

01/05/2004

Expiration Date

12/31/2005

City

MUNSTER

State

Zip

46321

County

INDIANA

Ever Disciplined

LastModifiedDate

02/16/2006