TIERRA DENECIA JOHNSON - Occupational Therapist License in Colorado | # 056011173

TIERRA DENECIA JOHNSON

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056011173

License Status

NOT RENEWED

Business

N

First Name

TIERRA

Middle

DENECIA

Last Name

JOHNSON

Business Name

TIERRA DENECIA JOHNSON

Original Issue Date

09/09/2015

Effective Date

12/30/2019

Expiration Date

01/31/2022

State

CO

Ever Disciplined

N

LastModifiedDate

05/18/2022