MARILYN M DOUGHERTY Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056001166

License Status

NOT RENEWED

Business

First Name

MARILYN M

Last Name

DOUGHERTY

Business Name

MARILYN M DOUGHERTY

Original Issue Date

09/25/1984

Effective Date

12/17/2003

Expiration Date

12/31/2005

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

02/16/2006