KELLY MARIE CLEMENS Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056005327

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

MARIE

Last Name

CLEMENS

Business Name

KELLY MARIE CLEMENS

Original Issue Date

05/14/1999

Effective Date

10/10/2007

Expiration Date

12/31/2009

City

PEOSTA

State

Zip

52068

County

IOWA

Ever Disciplined

LastModifiedDate

02/04/2010