HEATHER ANN GREEN Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057002115

License Status

NOT RENEWED

Business

First Name

HEATHER

Middle

ANN

Last Name

GREEN

Business Name

HEATHER ANN GREEN

Original Issue Date

11/01/2000

Effective Date

01/04/2016

Expiration Date

12/31/2017

City

PULASKI

State

Zip

62976

County

PULASKI

Ever Disciplined

LastModifiedDate

04/10/2018