PRISCILLA E EARLL Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001744

License Status

NOT RENEWED

Business

First Name

PRISCILLA

Middle

Last Name

EARLL

Business Name

PRISCILLA E EARLL

Original Issue Date

09/03/1998

Effective Date

02/27/2002

Expiration Date

12/31/2001

City

KENOSHA

State

Zip

53142

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/11/2005