TINA MARIE DUDLEY Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001788

License Status

NOT RENEWED

Business

First Name

TINA

Middle

MARIE

Last Name

DUDLEY

Business Name

TINA MARIE DUDLEY

Original Issue Date

11/09/1998

Effective Date

12/04/2003

Expiration Date

12/31/2005

City

GOREVILLE

State

Zip

62939

County

JOHNSON

Ever Disciplined

LastModifiedDate

02/16/2006