HEATHER M MILLBURG Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057002409

License Status

INACTIVE

Business

First Name

HEATHER

Middle

Last Name

MILLBURG

Business Name

HEATHER M MILLBURG

Original Issue Date

05/02/2003

Effective Date

11/19/2003

Expiration Date

12/31/2005

City

WAGGONER

State

Zip

62572

Ever Disciplined

LastModifiedDate

10/25/2005