KELLY J HERWIG Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056004825

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

Last Name

HERWIG

Business Name

KELLY J HERWIG

Original Issue Date

05/06/1998

Effective Date

10/19/2021

Expiration Date

12/31/2023

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/28/2024