KELLY RENEE SMITH Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056008886

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

RENEE

Last Name

SMITH

Business Name

KELLY RENEE SMITH

Original Issue Date

11/16/2009

Effective Date

10/08/2013

Expiration Date

12/31/2015

City

BELOIT

State

Zip

53511

County

WISCONSIN

Ever Disciplined

LastModifiedDate

02/08/2016