SHANNON ELIZABETH FOGARTY - Occupational Therapist License in California | # 056009861

SHANNON ELIZABETH FOGARTY

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056009861

License Status

NOT RENEWED

Business

N

First Name

SHANNON

Middle

ELIZABETH

Last Name

FOGARTY

Business Name

SHANNON ELIZABETH FOGARTY

Original Issue Date

09/06/2012

Effective Date

09/06/2012

Expiration Date

12/31/2013

State

CA

Ever Disciplined

N

LastModifiedDate

02/19/2014