MATT ALAN EISENHAUER Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001769

License Status

NOT RENEWED

Business

First Name

MATT

Middle

ALAN

Last Name

EISENHAUER

Business Name

MATT ALAN EISENHAUER

Original Issue Date

11/09/1998

Effective Date

02/27/2002

Expiration Date

12/31/2001

City

HARRISBURG

State

Zip

62946

County

SALINE

Ever Disciplined

LastModifiedDate

09/11/2005