ERICA ANN BRENNY Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056010058

License Status

NOT RENEWED

Business

First Name

ERICA

Middle

ANN

Last Name

BRENNY

Business Name

ERICA ANN BRENNY

Original Issue Date

03/01/2013

Effective Date

12/01/2015

Expiration Date

12/31/2017

City

DUBUQUE

State

Zip

52001

County

IOWA

Ever Disciplined

LastModifiedDate

04/10/2018