LESLIE ANN HAWKINS Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001746

License Status

INACTIVE

Business

First Name

LESLIE

Middle

ANN

Last Name

HAWKINS

Business Name

LESLIE ANN HAWKINS

BusinessDBA

LESLIE ANN DETIENNE

Original Issue Date

09/15/1998

Effective Date

11/27/2001

Expiration Date

12/31/2001

City

PORTAGE

State

Zip

46368

Ever Disciplined

LastModifiedDate

09/11/2005