IRISA MARIE GRIMES DPT Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056014003

License Status

NOT RENEWED

Business

Title

DPT

First Name

IRISA

Middle

MARIE

Last Name

GRIMES

Business Name

IRISA MARIE GRIMES DPT

Original Issue Date

12/15/2020

Effective Date

12/15/2020

Expiration Date

01/31/2022

City

FOREST GROVE

State

Zip

97116

Ever Disciplined

LastModifiedDate

05/18/2022