ALICIA JEAN OLSEN Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001911

License Status

NOT RENEWED

Business

First Name

ALICIA

Middle

JEAN

Last Name

OLSEN

Business Name

ALICIA JEAN OLSEN

Original Issue Date

06/03/1999

Effective Date

01/09/2014

Expiration Date

12/31/2015

City

MARINE

State

Zip

62061

County

MADISON

Ever Disciplined

LastModifiedDate

02/08/2016