KIMBERLY D SWAN Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056004230

License Status

NOT RENEWED

Business

First Name

KIMBERLY D

Last Name

SWAN

Business Name

KIMBERLY D SWAN

Original Issue Date

09/16/1996

Expiration Date

12/31/1997

City

HOPKINSVILLE

State

Zip

42240

County

KENTUCKY

Ever Disciplined

LastModifiedDate

07/28/2005