PENNE CLOS Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056008329

License Status

NOT RENEWED

Business

First Name

PENNE

Last Name

CLOS

Business Name

PENNE CLOS

Original Issue Date

04/21/2008

Effective Date

12/07/2009

Expiration Date

12/31/2011

City

SOUTHGATE

State

Zip

41071

County

KENTUCKY

Ever Disciplined

LastModifiedDate

02/08/2012