JENNIFER ROSE KUBICEK Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057003597

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

ROSE

Last Name

KUBICEK

Business Name

JENNIFER ROSE KUBICEK

Original Issue Date

07/12/2012

Effective Date

11/04/2013

Expiration Date

12/31/2015

City

JIM FALLS

State

Zip

54748

Ever Disciplined

LastModifiedDate

02/08/2016