BRIAN J DIRKSEN Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001713

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

Last Name

DIRKSEN

Business Name

BRIAN J DIRKSEN

Original Issue Date

05/28/1998

Effective Date

10/10/2007

Expiration Date

12/31/2009

City

DAVENPORT

State

Zip

52807

County

IOWA

Ever Disciplined

LastModifiedDate

02/04/2010