KEITH EDWIN TISDELL - Occupational Therapist License in Texas | # 056009381

KEITH EDWIN TISDELL

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056009381

License Status

NOT RENEWED

Business

N

First Name

KEITH

Middle

EDWIN

Last Name

TISDELL

Business Name

KEITH EDWIN TISDELL

Original Issue Date

05/17/2011

Effective Date

12/31/2013

Expiration Date

12/31/2015

State

TX

Ever Disciplined

N

LastModifiedDate

02/08/2016