JENNIFER L PROCKISH Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056007372

License Status

INACTIVE

Business

First Name

JENNIFER

Middle

Last Name

PROCKISH

Business Name

JENNIFER L PROCKISH

Original Issue Date

02/10/2005

Effective Date

10/25/2005

Expiration Date

12/31/2007

City

BLACK RIVER

State

Zip

13612

County

JEFFERSON

Ever Disciplined

LastModifiedDate

10/10/2007