CORTNEY KIM WAKEFIELD Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056011133

License Status

NOT RENEWED

Business

First Name

CORTNEY

Middle

KIM

Last Name

WAKEFIELD

Business Name

CORTNEY KIM WAKEFIELD

Original Issue Date

08/24/2015

Effective Date

12/07/2017

Expiration Date

12/31/2019

City

PLYMOUTH

State

Zip

55441

County

MINNESOTA

Ever Disciplined

LastModifiedDate

03/05/2020