JEANINE P DAVIS Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001323

License Status

NOT RENEWED

Business

First Name

JEANINE P

Last Name

DAVIS

Business Name

JEANINE P DAVIS

Original Issue Date

08/29/1996

Effective Date

01/27/2004

Expiration Date

12/31/2003

City

PORTAGE

State

Zip

46368

County

INDIANA

Ever Disciplined

LastModifiedDate

09/11/2005