SARA LYNN SMITH Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056005488

License Status

NOT RENEWED

Business

First Name

SARA

Middle

LYNN

Last Name

SMITH

Business Name

SARA LYNN SMITH

Original Issue Date

09/23/1999

Effective Date

11/13/2013

Expiration Date

12/31/2015

City

KENOSHA

State

Zip

53142

County

WISCONSIN

Ever Disciplined

LastModifiedDate

02/08/2016