HOLLY J THIESE Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056003351

License Status

NOT RENEWED

Business

First Name

HOLLY J

Last Name

THIESE

Business Name

HOLLY J THIESE

Original Issue Date

03/18/1994

Expiration Date

12/31/1997

City

KALAMAZOO

State

Zip

49019

County

MICHIGAN

Ever Disciplined

LastModifiedDate

07/28/2005