KELLY RENEE SMITH - Occupational Therapist License in Wisconsin | # 056008886

KELLY RENEE SMITH

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056008886

License Status

NOT RENEWED

Business

N

First Name

KELLY

Middle

RENEE

Last Name

SMITH

Business Name

KELLY RENEE SMITH

Original Issue Date

11/16/2009

Effective Date

10/08/2013

Expiration Date

12/31/2015

State

WI

Ever Disciplined

N

LastModifiedDate

02/08/2016