KRYSTA C LUNDQUIST Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056009934

License Status

NOT RENEWED

Business

First Name

KRYSTA

Middle

Last Name

LUNDQUIST

Business Name

KRYSTA C LUNDQUIST

Original Issue Date

10/23/2012

Effective Date

02/14/2022

Expiration Date

12/31/2023

City

CANE RIDGE

State

Zip

37013

Ever Disciplined

LastModifiedDate

03/28/2024