SALLY J SCHULTZ Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001109

License Status

NOT RENEWED

Business

First Name

SALLY J

Last Name

SCHULTZ

Business Name

SALLY J SCHULTZ

Original Issue Date

03/13/1995

Effective Date

11/16/2009

Expiration Date

12/31/2011

City

DYER

State

Zip

46311

Ever Disciplined

LastModifiedDate

02/08/2012