LESLIE DANA POWELL Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001799

License Status

NOT RENEWED

Business

First Name

LESLIE

Middle

DANA

Last Name

POWELL

Business Name

LESLIE DANA POWELL

Original Issue Date

11/09/1998

Effective Date

01/27/2004

Expiration Date

12/31/2003

City

HARRISBURG

State

Zip

62946

County

SALINE

Ever Disciplined

LastModifiedDate

09/11/2005