LAUREN NICOLE CLARK Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056010118

License Status

NOT RENEWED

Business

First Name

LAUREN

Middle

NICOLE

Last Name

CLARK

Business Name

LAUREN NICOLE CLARK

Original Issue Date

04/09/2013

Effective Date

10/28/2013

Expiration Date

12/31/2015

City

OSSEO

State

Zip

55311

County

MINNESOTA

Ever Disciplined

LastModifiedDate

02/08/2016