BRANDON BOAN Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057003984

License Status

NOT RENEWED

Business

First Name

BRANDON

Last Name

BOAN

Business Name

BRANDON BOAN

Original Issue Date

02/19/2014

Effective Date

11/21/2019

Expiration Date

01/31/2022

City

DURAND

State

Zip

61024

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/18/2022