SAMANTHA DYKSTRA Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056014061

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Last Name

DYKSTRA

Business Name

SAMANTHA DYKSTRA

Original Issue Date

02/08/2021

Effective Date

02/08/2021

Expiration Date

01/31/2022

City

SALEM

State

Zip

53168

Ever Disciplined

LastModifiedDate

05/18/2022