IRVING BALLENA ROSAUPAN - Occupational Therapist License in Florida | # 056007816

IRVING BALLENA ROSAUPAN

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056007816

License Status

NOT RENEWED

Business

N

First Name

IRVING

Middle

BALLENA

Last Name

ROSAUPAN

Business Name

IRVING BALLENA ROSAUPAN

Original Issue Date

07/10/2006

Effective Date

12/21/2023

Expiration Date

12/31/2025

State

FL

Ever Disciplined

N

LastModifiedDate

04/01/2026