KRISTA S KIESER Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056004154

License Status

INACTIVE

Business

First Name

KRISTA S

Last Name

KIESER

Business Name

KRISTA S KIESER

Original Issue Date

09/11/1996

Effective Date

12/18/2003

Expiration Date

12/31/2005

City

WYOMING

State

Zip

61491

County

STARK

Ever Disciplined

LastModifiedDate

10/25/2005