CONSTANCE M KISTNER Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057000248

License Status

NOT RENEWED

Business

First Name

CONSTANCE M

Last Name

KISTNER

Business Name

CONSTANCE M KISTNER

Original Issue Date

08/08/1984

Expiration Date

12/31/1985

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

07/28/2005