JENNIFER ANN WILMA Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057004025

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

ANN

Last Name

WILMA

Business Name

JENNIFER ANN WILMA

Original Issue Date

04/14/2014

Effective Date

11/25/2015

Expiration Date

12/31/2017

City

CROWN POINT

State

Zip

46307

County

INDIANA

Ever Disciplined

LastModifiedDate

04/10/2018