PENNE JEAN SMITH Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056004671

License Status

INACTIVE

Business

First Name

PENNE JEAN

Last Name

SMITH

Business Name

PENNE JEAN SMITH

Original Issue Date

11/12/1997

Effective Date

01/09/2004

Expiration Date

12/31/2005

City

WEVER

State

Zip

52658

County

IOWA

Ever Disciplined

LastModifiedDate

10/25/2005