MADENA M WHITESELL Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001032

License Status

INACTIVE

Business

First Name

MADENA M

Last Name

WHITESELL

Business Name

MADENA M WHITESELL

Original Issue Date

08/25/1994

Effective Date

11/16/2015

Expiration Date

12/31/2017

City

WASHBURN

State

Zip

61570

County

MARSHALL

Ever Disciplined

LastModifiedDate

10/06/2017