CRYSTAL RENAE BOYLEN Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056009242

License Status

NOT RENEWED

Business

First Name

CRYSTAL

Middle

RENAE

Last Name

BOYLEN

Business Name

CRYSTAL RENAE BOYLEN

Original Issue Date

12/10/2010

Effective Date

11/07/2011

Expiration Date

12/31/2013

City

COLFAX

State

Zip

54730

County

WISCONSIN

Ever Disciplined

LastModifiedDate

02/19/2014