JENNIFER LEANNE SPARKS Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057005636

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

LEANNE

Last Name

SPARKS

Business Name

JENNIFER LEANNE SPARKS

Original Issue Date

08/16/2021

Effective Date

12/17/2021

Expiration Date

12/31/2023

City

LAPORTE

State

Zip

46350

Ever Disciplined

LastModifiedDate

03/28/2024