BRENDA SUE WOUDENBERG Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057003163

License Status

NOT RENEWED

Business

First Name

BRENDA

Middle

SUE

Last Name

WOUDENBERG

Business Name

BRENDA SUE WOUDENBERG

Original Issue Date

09/03/2009

Effective Date

10/15/2013

Expiration Date

12/31/2015

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

02/08/2016