JENNIFER MARIE LUCKENBAUGH Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057002558

License Status

INACTIVE

Business

First Name

JENNIFER

Middle

MARIE

Last Name

LUCKENBAUGH

Business Name

JENNIFER MARIE LUCKENBAUGH

Original Issue Date

12/08/2004

Effective Date

10/10/2007

Expiration Date

12/31/2009

City

SELLERSVILLE

State

Zip

18960

County

PENNSYLVANIA

Ever Disciplined

LastModifiedDate

10/02/2009