KATHLEEN A BURDICK Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057000738

License Status

INACTIVE

Business

First Name

KATHLEEN A

Last Name

BURDICK

Business Name

KATHLEEN A BURDICK

Original Issue Date

03/09/1991

Effective Date

12/08/2003

Expiration Date

12/31/2005

City

CEDAR LAKE

State

Zip

46303

County

INDIANA

Ever Disciplined

LastModifiedDate

10/25/2005