KYLIE MARIE SIMONSON Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056012581

License Status

NOT RENEWED

Business

First Name

KYLIE

Middle

MARIE

Last Name

SIMONSON

Business Name

KYLIE MARIE SIMONSON

Original Issue Date

07/24/2018

Effective Date

07/24/2018

Expiration Date

12/31/2019

City

JANESVILLE

State

Zip

53548

Ever Disciplined

LastModifiedDate

03/05/2020