ELIZABETH A BOLDT Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057003250

License Status

NOT RENEWED

Business

First Name

ELIZABETH

Middle

Last Name

BOLDT

Business Name

ELIZABETH A BOLDT

Original Issue Date

07/02/2010

Effective Date

12/21/2015

Expiration Date

12/31/2017

City

SALEM

State

Zip

62881

County

MARION

Ever Disciplined

LastModifiedDate

04/10/2018