JILL ELIZABETH BOOKOUT Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057003621

License Status

NOT RENEWED

Business

First Name

JILL

Middle

ELIZABETH

Last Name

BOOKOUT

Business Name

JILL ELIZABETH BOOKOUT

Original Issue Date

07/27/2012

Effective Date

03/21/2018

Expiration Date

12/31/2019

City

OVERLAND

State

Zip

63114

Ever Disciplined

LastModifiedDate

03/05/2020