KELLY ANN ELLEDGE Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056009900

License Status

INACTIVE

Business

First Name

KELLY

Middle

ANN

Last Name

ELLEDGE

Business Name

KELLY ANN ELLEDGE

Original Issue Date

10/02/2012

Effective Date

10/10/2017

Expiration Date

12/31/2019

City

EUREKA

State

Zip

63025

Ever Disciplined

LastModifiedDate

10/02/2019