BROOKE ASHLEY DODGE Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056010265

License Status

NOT RENEWED

Business

First Name

BROOKE

Middle

ASHLEY

Last Name

DODGE

Business Name

BROOKE ASHLEY DODGE

Original Issue Date

09/05/2013

Effective Date

11/02/2015

Expiration Date

12/31/2017

City

DAVENPORT

State

Zip

52806

County

IOWA

Ever Disciplined

LastModifiedDate

04/10/2018