RODERICK THEODORE WIRTH Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056008942

License Status

NOT RENEWED

Business

First Name

RODERICK

Middle

THEODORE

Last Name

WIRTH

Business Name

RODERICK THEODORE WIRTH

Original Issue Date

01/29/2010

Effective Date

11/30/2015

Expiration Date

12/31/2017

City

AURORA

State

Zip

80016

County

COLORADO

Ever Disciplined

LastModifiedDate

04/10/2018