MALINA A KNOWLTON Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001344

License Status

NOT RENEWED

Business

First Name

MALINA

Middle

Last Name

KNOWLTON

Business Name

MALINA A KNOWLTON

Original Issue Date

09/11/1996

Effective Date

12/15/2009

Expiration Date

12/31/2011

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

02/08/2012