SARAH ELIZABETH WICKHAM Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056005694

License Status

INACTIVE

Business

First Name

SARAH

Middle

ELIZABETH

Last Name

WICKHAM

Business Name

SARAH ELIZABETH WICKHAM

Original Issue Date

04/07/2000

Effective Date

02/03/2004

Expiration Date

12/31/2003

City

GRAY

State

Zip

37615

County

TENNESSEE

Ever Disciplined

LastModifiedDate

09/11/2005