EMILY KRISTIN MOGREN Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056007784

License Status

NOT RENEWED

Business

First Name

EMILY

Middle

KRISTIN

Last Name

MOGREN

Business Name

EMILY KRISTIN MOGREN

Original Issue Date

05/23/2006

Effective Date

10/10/2007

Expiration Date

12/31/2009

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

02/04/2010