THEODORE W PETERSON Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056000145

License Status

INACTIVE

Business

First Name

THEODORE W

Last Name

PETERSON

Business Name

THEODORE W PETERSON

Original Issue Date

05/01/1984

Expiration Date

12/31/1985

City

FARGO

State

Zip

58102

County

NORTH DAKOTA

Ever Disciplined

LastModifiedDate

07/28/2005