DAKOTA KYLIE THEOBALD - Occupational Therapist License in Tennessee | # 056014699

DAKOTA KYLIE THEOBALD

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056014699

License Status

NOT RENEWED

Business

N

First Name

DAKOTA

Middle

KYLIE

Last Name

THEOBALD

Business Name

DAKOTA KYLIE THEOBALD

Original Issue Date

01/24/2022

Effective Date

12/26/2023

Expiration Date

12/31/2025

State

TN

Ever Disciplined

N

LastModifiedDate

04/01/2026