DIANE ELIZABETH KILLEN Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056012268

License Status

NOT RENEWED

Business

First Name

DIANE

Middle

ELIZABETH

Last Name

KILLEN

Business Name

DIANE ELIZABETH KILLEN

Original Issue Date

11/21/2017

Effective Date

12/18/2021

Expiration Date

12/31/2023

City

ELKHORN

State

Zip

53121

County

WISCONSIN

Ever Disciplined

LastModifiedDate

03/28/2024