KRISTIE M RUSSETT Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056004670

License Status

NOT RENEWED

Business

First Name

KRISTIE

Middle

Last Name

RUSSETT

Business Name

KRISTIE M RUSSETT

Original Issue Date

11/17/1997

Effective Date

11/16/2015

Expiration Date

12/31/2017

City

CLAYTON

State

Zip

52049

County

IOWA

Ever Disciplined

LastModifiedDate

04/10/2018