JENNIFER L SMITH Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056003633

License Status

NOT RENEWED

Business

First Name

JENNIFER L

Last Name

SMITH

Business Name

JENNIFER L SMITH

Original Issue Date

03/13/1995

Effective Date

02/27/2002

Expiration Date

12/31/2001

City

RACINE

State

Zip

53406

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/11/2005