KATHLEEN SUZANNE CONRAD Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056009523

License Status

NOT RENEWED

Business

First Name

KATHLEEN

Middle

SUZANNE

Last Name

CONRAD

Business Name

KATHLEEN SUZANNE CONRAD

Original Issue Date

09/23/2011

Effective Date

10/06/2017

Expiration Date

12/31/2019

City

SILVIS

State

Zip

61282

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

03/05/2020