KEITH EDWIN TISDELL Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056009381

License Status

NOT RENEWED

Business

First Name

KEITH

Middle

EDWIN

Last Name

TISDELL

Business Name

KEITH EDWIN TISDELL

Original Issue Date

05/17/2011

Effective Date

12/31/2013

Expiration Date

12/31/2015

City

KYLE

State

Zip

78640

County

TEXAS

Ever Disciplined

LastModifiedDate

02/08/2016