KIMBERLY JEAN MAYBERRY Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057003675

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

JEAN

Last Name

MAYBERRY

Business Name

KIMBERLY JEAN MAYBERRY

Original Issue Date

10/09/2012

Effective Date

10/06/2017

Expiration Date

12/31/2019

City

WILLIAMSTON

State

Zip

29697

County

OGLE

Ever Disciplined

LastModifiedDate

03/05/2020