PATRICIA J DIETRICH Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056000074

License Status

INACTIVE

Business

First Name

PATRICIA J

Last Name

DIETRICH

Business Name

PATRICIA J DIETRICH

Original Issue Date

04/12/1984

Effective Date

01/26/2004

Expiration Date

12/31/2003

City

EAST MOLINE

State

Zip

61244

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

09/11/2005