MELISSA JEAN SUMNER Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057003209

License Status

NOT RENEWED

Business

First Name

MELISSA

Middle

JEAN

Last Name

SUMNER

Business Name

MELISSA JEAN SUMNER

Original Issue Date

03/02/2010

Effective Date

12/27/2013

Expiration Date

12/31/2015

City

HIGHLAND

State

Zip

62249

County

MADISON

Ever Disciplined

LastModifiedDate

02/08/2016