POLLY A WOODFALL Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057002130

License Status

NOT RENEWED

Business

First Name

POLLY

Middle

Last Name

WOODFALL

Business Name

POLLY A WOODFALL

Original Issue Date

11/01/2000

Effective Date

11/09/2011

Expiration Date

12/31/2013

City

ROYALTON

State

Zip

62983

County

FRANKLIN

Ever Disciplined

LastModifiedDate

02/19/2014