KELLY LEE PACKWOOD Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057000976

License Status

NOT RENEWED

Business

First Name

KELLY LEE

Last Name

PACKWOOD

Business Name

KELLY LEE PACKWOOD

Original Issue Date

03/17/1994

Effective Date

12/09/2013

Expiration Date

12/31/2015

City

LANSING

State

Zip

60438

County

COOK

Ever Disciplined

LastModifiedDate

02/08/2016