KRISTIN DIETZ Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057003313

License Status

INACTIVE

Business

First Name

KRISTIN

Last Name

DIETZ

Business Name

KRISTIN DIETZ

Original Issue Date

10/25/2010

Effective Date

07/07/2016

Expiration Date

12/31/2017

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Ever Disciplined

LastModifiedDate

10/06/2017