JILL B MUDD Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056004298

License Status

INACTIVE

Business

First Name

JILL B

Last Name

MUDD

Business Name

JILL B MUDD

Original Issue Date

11/04/1996

Effective Date

11/06/2001

Expiration Date

12/31/2001

City

PADUCAH

State

Zip

42003

County

KENTUCKY

Ever Disciplined

LastModifiedDate

09/11/2005