JODY RENEE FOWLER Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057002963

License Status

NOT RENEWED

Business

First Name

JODY

Middle

RENEE

Last Name

FOWLER

Business Name

JODY RENEE FOWLER

Original Issue Date

06/16/2008

Effective Date

12/13/2017

Expiration Date

12/31/2019

City

HARRISBURG

State

Zip

62946

County

SALINE

Ever Disciplined

LastModifiedDate

03/05/2020