JO LARSON POUDRIER Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056012455

License Status

NOT RENEWED

Business

First Name

Middle

LARSON

Last Name

POUDRIER

Business Name

JO LARSON POUDRIER

Original Issue Date

03/16/2018

Effective Date

03/16/2018

Expiration Date

12/31/2019

City

WEST SALEM

State

Zip

54669

Ever Disciplined

LastModifiedDate

03/05/2020