PENNE JEAN SMITH - Occupational Therapist License in Iowa | # 056004671

PENNE JEAN SMITH

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056004671

License Status

INACTIVE

Business

N

First Name

PENNE JEAN

Last Name

SMITH

Business Name

PENNE JEAN SMITH

Original Issue Date

11/12/1997

Effective Date

01/09/2004

Expiration Date

12/31/2005

State

IA

Ever Disciplined

N

LastModifiedDate

10/25/2005