MADALYN AZELLE POTTERFIELD Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057005150

License Status

NOT RENEWED

Business

First Name

MADALYN

Middle

AZELLE

Last Name

POTTERFIELD

Business Name

MADALYN AZELLE POTTERFIELD

Original Issue Date

03/08/2019

Effective Date

12/24/2021

Expiration Date

12/31/2023

City

PALMYRA

State

Zip

63461

Ever Disciplined

LastModifiedDate

03/28/2024