MIA ELYSE GOODLY - Occupational Therapist License in Arizona | # 057004116

MIA ELYSE GOODLY

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057004116

License Status

NOT RENEWED

Business

N

First Name

MIA

Middle

ELYSE

Last Name

GOODLY

Business Name

MIA ELYSE GOODLY

Original Issue Date

08/25/2014

Effective Date

11/19/2015

Expiration Date

12/31/2017

State

AZ

Ever Disciplined

N

LastModifiedDate

04/10/2018