KIMBERLY ANN WYCKOFF Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001996

License Status

INACTIVE

Business

First Name

KIMBERLY

Middle

ANN

Last Name

WYCKOFF

Business Name

KIMBERLY ANN WYCKOFF

Original Issue Date

05/09/2000

Effective Date

12/28/2001

Expiration Date

12/31/2001

City

AUGUSTA

State

Zip

30909

County

GEORGIA

Ever Disciplined

LastModifiedDate

09/11/2005