KIM D BENTHIEN Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056001066

License Status

INACTIVE

Business

First Name

KIM D

Last Name

BENTHIEN

Business Name

KIM D BENTHIEN

Original Issue Date

08/08/1984

Expiration Date

12/31/1985

City

WATERTOWN

State

Zip

02172

County

MASSACHUSETTS

Ever Disciplined

LastModifiedDate

07/28/2005