TIFFANY A SCHMIDGALL Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057002672

License Status

NOT RENEWED

Business

First Name

TIFFANY

Middle

Last Name

SCHMIDGALL

Business Name

TIFFANY A SCHMIDGALL

Original Issue Date

03/10/2006

Effective Date

12/08/2011

Expiration Date

12/31/2013

City

FORREST

State

Zip

61741

County

LIVINGSTON

Ever Disciplined

LastModifiedDate

02/19/2014