MARIANNE J KUNKEL Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057002648

License Status

NOT RENEWED

Business

First Name

MARIANNE

Middle

Last Name

KUNKEL

Business Name

MARIANNE J KUNKEL

Original Issue Date

10/13/2005

Effective Date

10/15/2013

Expiration Date

12/31/2015

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

02/08/2016