ADRIENNE NICOLE SPUDICH Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001552

License Status

NOT RENEWED

Business

First Name

ADRIENNE NICOLE

Last Name

SPUDICH

Business Name

ADRIENNE NICOLE SPUDICH

Original Issue Date

11/12/1997

Effective Date

01/27/2004

Expiration Date

12/31/2003

City

RED BUD

State

Zip

62278

County

RANDOLPH

Ever Disciplined

LastModifiedDate

09/11/2005