DENISE D TANNER Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057002356

License Status

NOT RENEWED

Business

First Name

DENISE

Middle

Last Name

TANNER

Business Name

DENISE D TANNER

Original Issue Date

10/08/2002

Effective Date

10/10/2007

Expiration Date

12/31/2009

City

DU QUOIN

State

Zip

62832

County

PERRY

Ever Disciplined

LastModifiedDate

02/04/2010