KELLI RAE PRIDE Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057002492

License Status

INACTIVE

Business

First Name

KELLI

Middle

RAE

Last Name

PRIDE

Business Name

KELLI RAE PRIDE

Original Issue Date

02/05/2004

Effective Date

10/25/2005

Expiration Date

12/31/2007

City

STURGIS

State

Zip

42459

County

KENTUCKY

Ever Disciplined

LastModifiedDate

10/10/2007