ANGELA MICHELLE DIENER Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001205

License Status

INACTIVE

Business

First Name

ANGELA MICHELLE

Last Name

DIENER

Business Name

ANGELA MICHELLE DIENER

Original Issue Date

10/11/1995

Effective Date

12/30/2003

Expiration Date

12/31/2005

City

WOODLAWN

State

Zip

62898

County

JEFFERSON

Ever Disciplined

LastModifiedDate

10/25/2005