DONALD EUGENE KALLEMBACH Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056004959

License Status

NOT RENEWED

Business

First Name

DONALD

Middle

EUGENE

Last Name

KALLEMBACH

Business Name

DONALD EUGENE KALLEMBACH

Original Issue Date

08/07/1998

Effective Date

12/20/2017

Expiration Date

12/31/2019

City

PETERSBURG

State

Zip

62675

County

MENARD

Ever Disciplined

LastModifiedDate

03/05/2020