KATHY BOHMAN Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056005419

License Status

INACTIVE

Business

First Name

KATHY

Last Name

BOHMAN

Business Name

KATHY BOHMAN

Original Issue Date

05/26/1999

Effective Date

12/01/2003

Expiration Date

12/31/2005

City

GROVELAND

State

Zip

61535

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/25/2005