BRENDA L ADOLPH Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057002611

License Status

NOT RENEWED

Business

First Name

BRENDA

Middle

Last Name

ADOLPH

Business Name

BRENDA L ADOLPH

Original Issue Date

08/05/2005

Effective Date

10/25/2013

Expiration Date

12/31/2015

City

FITHIAN

State

Zip

61844

County

VERMILION

Ever Disciplined

LastModifiedDate

02/08/2016