KIMBERLY S EWENS Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056000567

License Status

NOT RENEWED

Business

First Name

KIMBERLY S

Last Name

EWENS

Business Name

KIMBERLY S EWENS

Original Issue Date

06/19/1984

Expiration Date

12/31/1995

City

KENOSHA

State

Zip

53142

County

WISCONSIN

Ever Disciplined

LastModifiedDate

07/28/2005