SANDRA K FALCONER Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056002073

License Status

NOT RENEWED

Business

First Name

SANDRA K

Last Name

FALCONER

Business Name

SANDRA K FALCONER

Original Issue Date

10/22/1988

Effective Date

02/27/2002

Expiration Date

12/31/2001

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/11/2005