KIRSTEN M BROOKS Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056001646

License Status

NOT RENEWED

Business

First Name

KIRSTEN M

Last Name

BROOKS

Business Name

KIRSTEN M BROOKS

Original Issue Date

10/27/1986

Effective Date

01/27/2004

Expiration Date

12/31/2003

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/11/2005