KELLY L GIDMAN Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056002513

License Status

NOT RENEWED

Business

First Name

KELLY L

Last Name

GIDMAN

Business Name

KELLY L GIDMAN

Original Issue Date

05/28/1991

Expiration Date

12/31/1991

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/28/2005