REBECCA LYNN BROCK - Occupational Therapist License in Georgia | # 056009048

REBECCA LYNN BROCK

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056009048

License Status

NOT RENEWED

Business

N

First Name

REBECCA

Middle

LYNN

Last Name

BROCK

Business Name

REBECCA LYNN BROCK

Original Issue Date

05/28/2010

Effective Date

12/13/2013

Expiration Date

12/31/2015

State

GA

Ever Disciplined

N

LastModifiedDate

02/08/2016