JENNIFER ZACK HORNER Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057003508

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

ZACK

Last Name

HORNER

Business Name

JENNIFER ZACK HORNER

Original Issue Date

02/01/2012

Effective Date

02/01/2012

Expiration Date

12/31/2013

City

MIMBRES

State

Zip

88049

County

NEW MEXICO

Ever Disciplined

LastModifiedDate

02/19/2014