JACLYN L BENNINGER Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056012502

License Status

NOT RENEWED

Business

First Name

JACLYN

Middle

Last Name

BENNINGER

Business Name

JACLYN L BENNINGER

Original Issue Date

04/13/2018

Effective Date

12/30/2021

Expiration Date

12/31/2023

City

LIVONIA

State

Zip

48152

County

WAYNE

Ever Disciplined

LastModifiedDate

03/28/2024