LORI A DYKSTRA Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056002282

License Status

INACTIVE

Business

First Name

LORI A

Last Name

DYKSTRA

Business Name

LORI A DYKSTRA

Original Issue Date

11/08/1989

Expiration Date

12/31/1993

City

WAUPUN

State

Zip

53963

County

WISCONSIN

Ever Disciplined

LastModifiedDate

07/28/2005