License holder summary

ANDY DALE POULSEN is a Occupational Therapists - Occupational Therapist licensed to practice in Michigan. This medical licensee license is not current. The license was granted 12/10/2001 and expired on 05/31/2010.

Department of Licensing and Regulatory Affairs

Board of Medicine

ANDY DALE POULSEN
Occupational Therapists - Occupational Therapist
License number
5201005861
Date granted
12/10/2001
Date expires
05/31/2010
Class
Occupational Therapists - Occupational Therapist
Status
Lapsed
Address
michiganmedical.net
ID 39107132
LAST UPDATED 2024-03-06 10:58:34 UTC

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