KELLY ELIZABETH STEVENS Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056012621

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

ELIZABETH

Last Name

STEVENS

Business Name

KELLY ELIZABETH STEVENS

Original Issue Date

08/24/2018

Effective Date

12/17/2019

Expiration Date

01/31/2022

City

COOKSVILLE

State

Zip

61730

County

INDIANA

Ever Disciplined

LastModifiedDate

05/18/2022