MICHELLE LYN MADDRELL Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056004082

License Status

NOT RENEWED

Business

First Name

MICHELLE LYN

Last Name

MADDRELL

Business Name

MICHELLE LYN MADDRELL

Original Issue Date

06/12/1996

Expiration Date

12/31/1997

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/28/2005