AMANDA KAY RUSSMAN Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056005588

License Status

INACTIVE

Business

First Name

AMANDA

Middle

KAY

Last Name

RUSSMAN

Business Name

AMANDA KAY RUSSMAN

Original Issue Date

11/05/1999

Effective Date

01/22/2004

Expiration Date

12/31/2003

City

CORALVILLE

State

Zip

52241

County

IOWA

Ever Disciplined

LastModifiedDate

09/11/2005