BRITTNEY SHARON LEIS Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057003808

License Status

INACTIVE

Business

First Name

BRITTNEY

Middle

SHARON

Last Name

LEIS

Business Name

BRITTNEY SHARON LEIS

Original Issue Date

05/23/2013

Effective Date

12/20/2017

Expiration Date

12/31/2019

City

CASHTON

State

Zip

54619

Ever Disciplined

LastModifiedDate

10/02/2019