KOLETTA RAE CLARKE Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057003262

License Status

NOT RENEWED

Business

First Name

KOLETTA

Middle

RAE

Last Name

CLARKE

Business Name

KOLETTA RAE CLARKE

Original Issue Date

08/02/2010

Effective Date

10/08/2019

Expiration Date

01/31/2022

City

OLIVE BRANCH

State

Zip

38654

Ever Disciplined

LastModifiedDate

05/18/2022