LESLEY ANN KOLESA Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057003774

License Status

NOT RENEWED

Business

First Name

LESLEY

Middle

ANN

Last Name

KOLESA

Business Name

LESLEY ANN KOLESA

Original Issue Date

04/03/2013

Effective Date

12/10/2019

Expiration Date

01/31/2022

City

TROY

State

Zip

62294

County

MADISON

Ever Disciplined

LastModifiedDate

05/18/2022