ANNA BURKHOLDER Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056013949

License Status

NOT RENEWED

Business

First Name

ANNA

Last Name

BURKHOLDER

Business Name

ANNA BURKHOLDER

Original Issue Date

11/13/2020

Effective Date

12/02/2021

Expiration Date

12/31/2023

City

LAFAYETTE

State

Zip

47909

Ever Disciplined

LastModifiedDate

03/28/2024