KATHLEEN D MADDOX Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056013122

License Status

NOT RENEWED

Business

First Name

KATHLEEN

Middle

Last Name

MADDOX

Business Name

KATHLEEN D MADDOX

Original Issue Date

07/29/2019

Effective Date

07/29/2019

Expiration Date

12/31/2019

City

INMAN

State

Zip

67546

Ever Disciplined

LastModifiedDate

03/05/2020