BONITA MARIE DOELLMAN Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056005120

License Status

NOT RENEWED

Business

First Name

BONITA

Middle

MARIE

Last Name

DOELLMAN

Business Name

BONITA MARIE DOELLMAN

Original Issue Date

11/12/1998

Effective Date

11/20/2021

Expiration Date

12/31/2023

City

QUINCY

State

Zip

62305

County

ADAMS

Ever Disciplined

LastModifiedDate

03/28/2024