HOLLY JO PRUETT Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057003164

License Status

NOT RENEWED

Business

First Name

HOLLY

Middle

Last Name

PRUETT

Business Name

HOLLY JO PRUETT

Original Issue Date

09/04/2009

Effective Date

12/14/2009

Expiration Date

12/31/2011

City

RIDGWAY

State

Zip

62979

County

GALLATIN

Ever Disciplined

LastModifiedDate

02/08/2012