KRISTAL R WADE Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056010021

License Status

NOT RENEWED

Business

First Name

KRISTAL

Middle

Last Name

WADE

Business Name

KRISTAL R WADE

Original Issue Date

01/29/2013

Effective Date

10/06/2017

Expiration Date

12/31/2019

City

WINNEBAGO

State

Zip

61088

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/05/2020