ILSE J SCRIVEN Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056003939

License Status

NOT RENEWED

Business

First Name

ILSE J

Last Name

SCRIVEN

Business Name

ILSE J SCRIVEN

Original Issue Date

03/07/1996

Expiration Date

12/31/1997

City

FAIRFIELD

State

Zip

52556

County

IOWA

Ever Disciplined

LastModifiedDate

07/28/2005