BRIAN J DIRKSEN - Occupational Therapist License in Iowa | # 057001713

BRIAN J DIRKSEN

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001713

License Status

NOT RENEWED

Business

N

First Name

BRIAN

Middle

J

Last Name

DIRKSEN

Business Name

BRIAN J DIRKSEN

Original Issue Date

05/28/1998

Effective Date

10/10/2007

Expiration Date

12/31/2009

State

IA

Ever Disciplined

N

LastModifiedDate

02/04/2010