KRISTIE ANNE CUNNINGHAM Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056006173

License Status

INACTIVE

Business

First Name

KRISTIE

Middle

ANNE

Last Name

CUNNINGHAM

Business Name

KRISTIE ANNE CUNNINGHAM

Original Issue Date

05/09/2001

Effective Date

11/10/2003

Expiration Date

12/31/2005

City

CLARKSVILLE

State

Zip

37040

County

TENNESSEE

Ever Disciplined

LastModifiedDate

10/25/2005