SANDRA LEE DIXON Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057003215

License Status

NOT RENEWED

Business

First Name

SANDRA

Middle

LEE

Last Name

DIXON

Business Name

SANDRA LEE DIXON

Original Issue Date

03/10/2010

Effective Date

12/24/2015

Expiration Date

12/31/2017

City

COTTAGE HILLS

State

Zip

62018

County

MADISON

Ever Disciplined

LastModifiedDate

04/10/2018