SUSAN C WHITEHEAD Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056000618

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

Last Name

WHITEHEAD

Business Name

SUSAN C WHITEHEAD

Original Issue Date

07/17/1984

Effective Date

12/17/2015

Expiration Date

12/31/2017

City

BALDWIN

State

Zip

62217

County

RANDOLPH

Ever Disciplined

LastModifiedDate

04/10/2018