DOROTHY LOUISE EIDEM - Occupational Therapist License in Colorado | # 057001752

DOROTHY LOUISE EIDEM

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001752

License Status

INACTIVE

Business

N

First Name

DOROTHY

Middle

LOUISE

Last Name

EIDEM

Business Name

DOROTHY LOUISE EIDEM

Original Issue Date

10/27/1998

Effective Date

01/06/2004

Expiration Date

12/31/2005

State

CO

Ever Disciplined

N

LastModifiedDate

10/25/2005