LAURIN E MANNING DERRICK - Occupational Therapist License in Connecticut | # 056007201

LAURIN E MANNING DERRICK

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056007201

License Status

NOT RENEWED

Business

N

First Name

LAURIN

Middle

E

Last Name

MANNING DERRICK

Business Name

LAURIN E MANNING DERRICK

Original Issue Date

06/14/2004

Effective Date

10/10/2007

Expiration Date

12/31/2009

State

CT

Ever Disciplined

N

LastModifiedDate

02/04/2010