CAROLINE K LAWATE Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056013038

License Status

NOT RENEWED

Business

First Name

CAROLINE

Middle

Last Name

LAWATE

Business Name

CAROLINE K LAWATE

Original Issue Date

04/15/2019

Effective Date

12/24/2019

Expiration Date

01/31/2022

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/18/2022