DEBRA DAWN KILDAHL Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056009212

License Status

NOT RENEWED

Business

First Name

DEBRA

Middle

DAWN

Last Name

KILDAHL

Business Name

DEBRA DAWN KILDAHL

Original Issue Date

10/26/2010

Effective Date

11/12/2013

Expiration Date

12/31/2015

City

ELKHORN

State

Zip

53121

County

WISCONSIN

Ever Disciplined

LastModifiedDate

02/08/2016