ERIK SCOTT DUDLEY Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001336

License Status

NOT RENEWED

Business

First Name

ERIK SCOTT

Last Name

DUDLEY

Business Name

ERIK SCOTT DUDLEY

Original Issue Date

09/11/1996

Effective Date

01/27/2004

Expiration Date

12/31/2003

City

GOREVILLE

State

Zip

62939

County

JOHNSON

Ever Disciplined

LastModifiedDate

09/11/2005