DANA JEAN THIELE Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056012861

License Status

NOT RENEWED

Business

First Name

DANA

Middle

JEAN

Last Name

THIELE

Business Name

DANA JEAN THIELE

Original Issue Date

01/30/2019

Effective Date

01/30/2019

Expiration Date

12/31/2019

City

LEOPOLD

State

Zip

63760

Ever Disciplined

LastModifiedDate

03/05/2020