KIRSTEN A HANSEN Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057000276

License Status

INACTIVE

Business

First Name

KIRSTEN A

Last Name

HANSEN

Business Name

KIRSTEN A HANSEN

Original Issue Date

09/25/1984

Expiration Date

12/31/1985

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

07/28/2005