KELLI ANN DARIN Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056005614

License Status

NOT RENEWED

Business

First Name

KELLI

Middle

ANN

Last Name

DARIN

Business Name

KELLI ANN DARIN

Original Issue Date

11/09/1999

Effective Date

10/25/2005

Expiration Date

12/31/2007

City

PLEASANT PRAIRIE

State

Zip

53158

County

WISCONSIN

Ever Disciplined

LastModifiedDate

02/15/2008