JENNIFER M MIX - Occupational Therapist License in Arizona | # 057002462

JENNIFER M MIX

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057002462

License Status

NOT RENEWED

Business

N

First Name

JENNIFER

Middle

M

Last Name

MIX

Business Name

JENNIFER M MIX

Original Issue Date

09/03/2003

Effective Date

10/18/2023

Expiration Date

12/31/2025

State

AZ

Ever Disciplined

N

LastModifiedDate

04/01/2026