ELISE EVANS Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056012511

License Status

NOT RENEWED

Business

First Name

ELISE

Last Name

EVANS

Business Name

ELISE EVANS

Original Issue Date

04/30/2018

Effective Date

04/30/2018

Expiration Date

12/31/2019

City

EATON RAPIDS

State

Zip

48827

Ever Disciplined

LastModifiedDate

03/05/2020