KRISTINE SUE FULLER Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056013357

License Status

NOT RENEWED

Business

First Name

KRISTINE

Middle

SUE

Last Name

FULLER

Business Name

KRISTINE SUE FULLER

Original Issue Date

10/25/2019

Effective Date

10/25/2019

Expiration Date

01/31/2022

City

BETTENDORF

State

Zip

52722

Ever Disciplined

LastModifiedDate

05/18/2022