DAWN M KELLY Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056009854

License Status

NOT RENEWED

Business

First Name

DAWN

Middle

Last Name

KELLY

Business Name

DAWN M KELLY

Original Issue Date

08/29/2012

Effective Date

11/06/2019

Expiration Date

01/31/2022

City

ALHAMBRA

State

Zip

62001

County

MADISON

Ever Disciplined

LastModifiedDate

05/18/2022