KIMBERLY ANN EWALD Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056011311

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

ANN

Last Name

EWALD

Business Name

KIMBERLY ANN EWALD

Original Issue Date

12/08/2015

Effective Date

12/08/2015

Expiration Date

12/31/2017

City

CLINTON TOWNSHIP

State

Zip

48038

County

MICHIGAN

Ever Disciplined

LastModifiedDate

04/10/2018