JACQUELYN M DULKA Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056007061

License Status

NOT RENEWED

Business

First Name

JACQUELYN

Middle

Last Name

DULKA

Business Name

JACQUELYN M DULKA

Original Issue Date

12/04/2003

Effective Date

06/12/2019

Expiration Date

12/31/2019

City

MOORHEAD

State

Zip

56560

Ever Disciplined

LastModifiedDate

03/05/2020