ERICA M ELLERBROCK Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056011911

License Status

NOT RENEWED

Business

First Name

ERICA

Middle

Last Name

ELLERBROCK

Business Name

ERICA M ELLERBROCK

Original Issue Date

03/20/2017

Effective Date

03/20/2017

Expiration Date

12/31/2017

City

OTTAWA

State

Zip

45875

County

OHIO

Ever Disciplined

LastModifiedDate

04/10/2018