KRISTEN RYAN RUSSELL Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056011518

License Status

NOT RENEWED

Business

First Name

KRISTEN

Middle

RYAN

Last Name

RUSSELL

Business Name

KRISTEN RYAN RUSSELL

Original Issue Date

05/02/2016

Effective Date

12/24/2021

Expiration Date

12/31/2023

City

BRIDGMAN

State

Zip

49106

Ever Disciplined

LastModifiedDate

03/28/2024