ELIZABETH ANN PENN Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056007780

License Status

NOT RENEWED

Business

First Name

ELIZABETH

Middle

ANN

Last Name

PENN

Business Name

ELIZABETH ANN PENN

Original Issue Date

05/17/2006

Effective Date

11/10/2015

Expiration Date

12/31/2017

City

CEDAR RAPIDS

State

Zip

52402

County

IOWA

Ever Disciplined

LastModifiedDate

04/10/2018