LAURIE J PIETKIEWICZ Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056004001

License Status

NOT RENEWED

Business

First Name

LAURIE J

Last Name

PIETKIEWICZ

Business Name

LAURIE J PIETKIEWICZ

Original Issue Date

03/12/1996

Effective Date

12/15/2015

Expiration Date

12/31/2017

City

PHOENIX

State

Zip

85045

County

ARIZONA

Ever Disciplined

LastModifiedDate

04/10/2018