KELLI RAE PRIDE - Occupational Therapist License in Kentucky | # 057002492

KELLI RAE PRIDE

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057002492

License Status

INACTIVE

Business

N

First Name

KELLI

Middle

RAE

Last Name

PRIDE

Business Name

KELLI RAE PRIDE

Original Issue Date

02/05/2004

Effective Date

10/25/2005

Expiration Date

12/31/2007

State

KY

Ever Disciplined

N

LastModifiedDate

10/10/2007