GEOFFREY EREN LEEDS Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057005452

License Status

NOT RENEWED

Business

First Name

GEOFFREY

Middle

EREN

Last Name

LEEDS

Business Name

GEOFFREY EREN LEEDS

Original Issue Date

07/23/2020

Effective Date

07/23/2020

Expiration Date

01/31/2022

City

APPLETON

State

Zip

54913

Ever Disciplined

LastModifiedDate

05/18/2022