ASHLEY SUSAN CHAN Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056009472

License Status

NOT RENEWED

Business

First Name

ASHLEY

Middle

SUSAN

Last Name

CHAN

Business Name

ASHLEY SUSAN CHAN

Original Issue Date

08/29/2011

Effective Date

10/17/2011

Expiration Date

12/31/2013

City

GLENWOOD

State

Zip

56334

County

MINNESOTA

Ever Disciplined

LastModifiedDate

02/19/2014