ALISON SUE KIRK Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001532

License Status

INACTIVE

Business

First Name

ALISON SUE

Last Name

KIRK

Business Name

ALISON SUE KIRK

Original Issue Date

11/12/1997

Effective Date

02/03/2004

Expiration Date

12/31/2003

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

09/11/2005