ALICIA Y THIEMAN Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056008776

License Status

NOT RENEWED

Business

First Name

ALICIA

Middle

Last Name

THIEMAN

Business Name

ALICIA Y THIEMAN

Original Issue Date

08/26/2009

Effective Date

10/02/2009

Expiration Date

12/31/2011

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

02/08/2012