FRED W GEIKE Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057000365

License Status

NOT RENEWED

Business

First Name

FRED W

Last Name

GEIKE

Business Name

FRED W GEIKE

Original Issue Date

02/27/1986

Effective Date

10/25/2005

Expiration Date

12/31/2007

City

PORTAGE

State

Zip

46368

Ever Disciplined

LastModifiedDate

03/31/2008