CAROLINE MARY BLAKE Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057004256

License Status

NOT RENEWED

Business

First Name

CAROLINE

Middle

MARY

Last Name

BLAKE

Business Name

CAROLINE MARY BLAKE

Original Issue Date

04/09/2015

Effective Date

04/06/2016

Expiration Date

12/31/2017

City

ELDRIDGE

State

Zip

52748

County

IOWA

Ever Disciplined

LastModifiedDate

04/10/2018