KIERSTEN KEONDRA FLUELLEN Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056016203

License Status

ACTIVE

Business

First Name

KIERSTEN

Middle

KEONDRA

Last Name

FLUELLEN

Business Name

KIERSTEN KEONDRA FLUELLEN

Original Issue Date

08/28/2024

Effective Date

12/30/2025

Expiration Date

12/31/2027

City

ATLANTA

State

Zip

30344

Ever Disciplined

LastModifiedDate

12/30/2025