License holder summary

KELLY LYNN PETERSEN is a Occupational Therapist & Assistant - Occupational Therapist licensed to practice in Michigan. The address on file for KELLY LYNN PETERSEN is Round Rock, TX 786646297. This licensed professional license is not current. The license was granted 06/29/1995 and expired on 05/31/2000.

Michigan

Department of Licensing and Regulation

KELLY LYNN PETERSEN
Occupational Therapist & Assistant - Occupational Therapist
License number
5201002789
Date granted
06/29/1995
Date expires
05/31/2000
Class
Occupational Therapist & Assistant - Occupational Therapist
Status
Lapsed
Address
Round Rock, TX 786646297
michiganlicensing.org
ID 25872469
LAST UPDATED 2024-05-11 05:51:03 UTC

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