KEITH ALLEN GUTIERREZ OTR/L Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056010001

License Status

INACTIVE

Business

Title

OTR/L

First Name

KEITH

Middle

ALLEN

Last Name

GUTIERREZ

Business Name

KEITH ALLEN GUTIERREZ OTR/L

Original Issue Date

01/04/2013

Effective Date

12/07/2015

Expiration Date

12/31/2017

City

DUBUQUE

State

Zip

52001

County

IOWA

Ever Disciplined

LastModifiedDate

10/06/2017