TIERRA DENECIA JOHNSON Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056011173

License Status

NOT RENEWED

Business

First Name

TIERRA

Middle

DENECIA

Last Name

JOHNSON

Business Name

TIERRA DENECIA JOHNSON

Original Issue Date

09/09/2015

Effective Date

12/30/2019

Expiration Date

01/31/2022

City

HIGHLANDS RANCH

State

Zip

80129

County

WISCONSIN

Ever Disciplined

LastModifiedDate

05/18/2022