JENNIFER CATHERINE LIVELY Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056004438

License Status

INACTIVE

Business

First Name

JENNIFER

Middle

CATHERINE

Last Name

LIVELY

Business Name

JENNIFER CATHERINE LIVELY

Original Issue Date

05/07/1997

Effective Date

02/20/2004

Expiration Date

12/31/2003

City

ZANVILLE

State

Zip

43701

County

OHIO

Ever Disciplined

LastModifiedDate

09/11/2005