VERA JEAN COOK Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056004323

License Status

NOT RENEWED

Business

First Name

VERA JEAN

Last Name

COOK

Business Name

VERA JEAN COOK

Original Issue Date

12/16/1996

Effective Date

12/19/2019

Expiration Date

01/31/2022

City

IDAHO FALLS

State

Zip

83402

County

IDAHO

Ever Disciplined

LastModifiedDate

05/18/2022