REBECCA PETERSEN Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057005509

License Status

NOT RENEWED

Business

First Name

REBECCA

Last Name

PETERSEN

Business Name

REBECCA PETERSEN

Original Issue Date

11/13/2020

Effective Date

12/28/2021

Expiration Date

12/31/2023

City

GODFREY

State

Zip

62035

County

MADISON

Ever Disciplined

LastModifiedDate

03/28/2024