KATHLEEN KAY FALK Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057002072

License Status

NOT RENEWED

Business

First Name

KATHLEEN

Middle

KAY

Last Name

FALK

Business Name

KATHLEEN KAY FALK

Original Issue Date

07/06/2000

Effective Date

01/27/2004

Expiration Date

12/31/2003

City

KENOSHA

State

Zip

53140

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/11/2005