BRIENNA LEA BENNETT Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057003522

License Status

NOT RENEWED

Business

First Name

BRIENNA

Middle

LEA

Last Name

BENNETT

Business Name

BRIENNA LEA BENNETT

Original Issue Date

02/23/2012

Effective Date

12/13/2017

Expiration Date

12/31/2019

City

BRODHEAD

State

Zip

53520

Ever Disciplined

LastModifiedDate

03/05/2020