GAIL C WAECKER Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056009503

License Status

NOT RENEWED

Business

First Name

GAIL

Middle

Last Name

WAECKER

Business Name

GAIL C WAECKER

Original Issue Date

09/14/2011

Effective Date

12/24/2019

Expiration Date

01/31/2022

City

ROSEBURG

State

Zip

97471

Ever Disciplined

LastModifiedDate

05/18/2022