KRISTIE LYNN LARSON Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056006820

License Status

NOT RENEWED

Business

First Name

KRISTIE

Middle

LYNN

Last Name

LARSON

Business Name

KRISTIE LYNN LARSON

Original Issue Date

04/02/2003

Effective Date

10/25/2005

Expiration Date

12/31/2007

City

PENSACOLA

State

Zip

32507

Ever Disciplined

LastModifiedDate

02/15/2008